J.Jpn. Surg. Soc.. 82(7): 731-738, 1981

---

Original article

SLEEVE LOBECTOMY WITH PULMONARY ARTERY RECONSTRUCTION FOR BRONCHOGENIC CARCINOMA

Forty-one patients with tracheal or endobronchial lesions were treated with reconstructive procedures of trachea or bronchus, 28 of which were bronchogenic carcinoma patients. Six patients with cancer involving the orifices of the lobar bronchi and the pulmonary artery underwent sleeve lobectomy concomitantly with pulmonary artery reconstruction. In our series of sleeve lobectomy for bronchogenic carcinoma, preoperative indication was performed by bronchoscopic findings, however, in above 6 cases preoperative pulmonary angiography was not necessarily useful tool for preoperative decision of angioplastic procedures. The patients subjected to sleeve lobectomy with pulmonary artery reconstruction encountered no specific postoperative complications and showed fairly preserved respiratory function of residual lung from the immediate postoperative period.
However, there prognosis were not satisfactory; all 6 cases died within 2 years and 7 months postoperatively, 5 of which died of recurrent lung cancer. In patients whose results of histologic examinations of cancer involving pulmonary artery showed invasion of the tumor to the media or intima of the vessel, there were distant metastatis during the postoperative course.
These results indicate the sufficient postperative adjuvant therapies are necessary for distant metastasis which preoperatively exists in those patients who show the tumor invasion to the hilar vessels.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.