Does pleural bronchial wrapping improve wound healing in right sleeve lobectomy?

Tracheobronchial sleeve resection with the use of a continuous anastomosis: Results of one hundred consecutive cases

“…5 Retrograde flow has been detected from the pulmonary artery into the bronchial arteries distal to the anastomosis immediately after resection. 4 However, healing will be impaired if this is the only arterial supply to the anastomosis. Surrounding tissues provide some systemic supply to the distal part of the anastomosis.…”

“…These may result from disruption of the vascular supply, and care must be taken to preserve the blood supply of the bronchus at the anastomosis. 4 Other authors have emphasized the importance of other factors such as the avoidance of tension or infection, which may affect healing. 5 The anastomotic technique is clearly of importance.…”

Experimental study of extracorporeal lung resection in dogs: ex situ sleeve resection and autotransplantation of the pulmonary lobe after extended pneumonectomy for central lung cancer

“…During the early period after an operation, the peripheral bronchus of the bronchial anastomotic site is nurtured by backflow from the pulmonary artery. 16 Thus stenosis at the pulmonary vein often leads to BPF, as observed in the ND1 and ND2 groups. For these reasons, special care should be taken to prevent stenosis at the anastomotic site of the pulmonary vein.…”

Experimental Lung Transplantation Using Non-Penetrating Vascular Clips for Anastomosis of the Pulmonary Artery

“…anastomoses, were macroscopically inspected. The detailed procedure of silicone rubber injection was previously reported [6]. The other two dogs were sacrificed for standard microscopic observation of the anastomoses 2 or 4 weeks after transplantation.…”