The role of bronchoplastic procedures in the surgical management of benign and malignant pulmonary lesions

Mucoepidermoid carcinoma of the bronchus: A case report and review of the literature

“…2 High-degree malignancy is rare, even in the adult. 46 Of the 51 pediatric cases described in the literature, only 2 were included in the high-degree malignancy group. We do not know the follow-up of the first patient, who had metastasis to peribronchial lymph nodes 26 ; the second patient, who was free from metastases on diagnosis, was disease-free after 6 years of follow-up.…”

“…The patient described in the present report had a mucoepidermoid carcinoma located at the distal end of the left main bronchus, which induced atelectasis of the left lower lobe: this lesion could easily have required a com- plete pneumonectomy. Instead, a sleeve resection of the left lower lobe was performed, associated with bronchoplasty between the main bronchus and the left upper lobar bronchus 17,46 ; this allowed a considerable portion of the lung parenchyma to be preserved.…”

Left main bronchus resection and reconstruction. A single institution experience

“…As a rule of all airway surgical procedures for malignancies, frozen section pathological confirmation on the specimen's margins must be obtained before starting the reconstructive phase. If an adequate free margin can be achieved, sleeve reections have proved to be completely satisfactory in the treatment of the above-mentioned diseases [ 1 - 3 , 6 , 12 , 13 ], and appear to be superior to other parenchymal-sparing techniques, such as wedge bronchial resection [ 7 , 17 ]. In case of non-small cell lung cancer the oncological adequacy of LMBRR is disputed [ 18 , 19 ].…”

“…The use of right-sided double-lumen endobronchial tubes is not discussed [ 1 - 4 , 7 ], while surgical access is still a matter of debate. Two main approaches have been proposed: the anterior approach, via a median sternotomy [ 21 ], and the lateral approach, through a left posterolateral thoracotomy [ 1 - 4 , 7 ]. Median sternotomy allows better exposure of the tracheal carina and, subsequently, facilitates a very proximal anastomosis.…”

“…Left main bronchus resection-reconstruction (LMBRR) is a technically demanding procedure indicated for management of inflammatory, benign and low-grade malignant lesions [ 1 - 7 ]. When based on solid oncological criteria sleeve resection of the main bronchus spares the whole left lung, yielding a huge functional advantage.…”