Our own experience in performing SLEEVE resection in carcinoma pulmonis – late observations
Bulgarian Medical Journal, 2023, 17(2), 56-62.
A. Chervenyakov1, P. A. Chervenyakov2, P. M. Chervenyakov1
1 Department of Thoracic Surgery, UMHAT “Sofiyamed”
2 Department of Thoracic Surgery, University Hospital “St. Andrus” – Lids, UK
Abstract. Reconstructive and plastic surgeries of the lung and tracheobronchial tree are a definite peak in the development and successes of modern radical resection and plastic surgery of the tracheobronchial tree and the lung. We present two patients who underwent lobectomy with circular resection of the bronchi. The proposed advanced original method for the implementation of the so-called radical lobectomy of lung carcinoma is very radical and enables performance of an increased number of lung resections of larger volumes, and there is a lower postoperative mortality – less than 1%, with a longer life expectancy after surgery and through modern chemotherapy and radiotherapy postoperative methods of treatment. The operative method proposed by us enables, firstly, to carry out anastomosis when the lumens of the main bronchus and that of the distal bronchus are identical in volume, secondly – in strictly circular resections of the bronchi, the tension from the air flow causes greater pressure and insufficient anastomoses.
Key words: tracheobronchial tree, lung/carcinoma, operative treatment, radical resection/plastic surgery
Address for correspondence: Prof. Alexander Chervenyakov, MD, DSc, e-mail: Tcherveniakov@hotmail.com