Bronchial Sleeve Resection and Plasty, Carinal Resection and Reconstruction, and Angioplasty for Locally Advanced Central Type of Lung Cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANGMing-dong , NINGYe , XUELei ,  ZHAOXue-wei

Department of Cardiothoracic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai 200003, P. R. China;

Corresponding?author：

ZHAOXue-wei, Email: xuewei_zhao@hotmail.com

Keywords：

Lung cancer; Bronchoplasty; Carinal reconsrtruction; Angioplasty

DOI：

10.7507/1007-4848.20160058

Video：

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Objective To analyze the surgical techniques and perioperative patient management of bronchial sleeve resection and plasty, carinal resection and reconstruction, and angioplasty in the treatment of locally advanced central type of lung cancer and summarize the experiences. Methods We retrospectively analyzed the clinical data of 21 locally advanced central type of lung cancer patients with bronchial sleeve resection and plasty, carinal resection and reconstruction, and angioplast in our hospital from December 2011 through November 2014. There were 17 males and 3 females with a mean age of 63.2±6.2 years. All operations were successful. The time of operation was 3.29±0.75 h. The hospitalization time was 25.48±22.31 days. No death ocurred during perioperative period. Postoperative complications were found in 3 patients, including 2 patients with atelectasis and 1 patient with bronchopleural fistula. Conclusion Bronchial sleeve resection and plasty, carinal resection and reconstruction, and angioplasty apply to treat locally advanced central type of lung cancer not only maximally remove the lung cancer tissue, but also maximally reserve the healthy lung tissue.

Citation： WANGMing-dong, NINGYe, XUELei, ZHAOXue-wei. Bronchial Sleeve Resection and Plasty, Carinal Resection and Reconstruction, and Angioplasty for Locally Advanced Central Type of Lung Cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(3): 244-247. doi: 10.7507/1007-4848.20160058 Copy

1.	Sumin S, Joon SP, Young MS, et al. Carinal resection and rec-onstruction in thoracic malignancies. J Surg Oncol, 2014, 110(3): 239-244.
2.	邵豐, 許棟生, 鄒衛, 等. 支氣管、隆突成形術治療中央型肺癌72例臨床分析. 中國肺癌雜志, 2008, 1: 142-143.
3.	Takeshi N, Naoya Y, Tomoshi T, et al. The evolution of broncho-plasty and broncho-angioplasty as treatments for lung cancer: evalu-ation of 30 years of data from a single institution. Eur J Cardiothorac Surg, 2016, 49(1): 300-306.
4.	Nagayasu T, Matsumoto K, Tagawa T, et al. Factors affecting survival after bronchoplasty and broncho-angioplasty for lung cancer: single institutional review of 147 patients. Eur J Cardiothorac Surg, 2006, 29(4): 585-590.
5.	Yildizeli B, Fadel E, Mussot S, et al. Morbidity, mortality, and long-term survival after sleeve lobectomy for non-small cell lung c-ancer. Eur J Cardiothorac Surg, 2007, 31(1): 95-102.
6.	孫立陽, 王國新, 楊朋, 等. 氣管隆突支氣管成形術的臨床應用. 中國現代手術學雜志, 2011, 15(1): 23-25.
7.	Antonio D'A, Giulio M, Claudio A, et al. Pulmonary artery rec-onstruction with pulmonary vein conduit for lung cancer: medium-term results. Ann Thorac Surg, 2014, 98(3): 990-995.
8.	Thirugnanam A. Initial experience with video-assisted thoracoscopic bronchoplasty. Eur J Cardio-Thorac Surg, 2013, 44(4): 616-623.
9.	Giulia L, Franco S, Andrea DA, et al. Tracheo-bronchoplastic proce-dures for NSCLC: single-centre experience. Heart Lung Circ, 2015, 24(10): 1027-1032.
10.	龍建平, 熊衛民, 黃標通, 等. 氣管隆突重建、支氣管成形術治療中央型肺癌32例. 醫學臨床研究, 2007, 24(7): 1126-1128.
11.	蔣明, 許林, 張勤, 等. 隆突成形、心血管成形術治療局部晚期肺癌. 實用臨床醫藥雜志, 2004, 8(6): 45-49.
12.	張毅支, 支修益, 許慶生, 等. 新輔助化療對術中和圍術期肺癌患者的影響. 中華醫學雜志, 2006, 86(23): 1647-1648.
13.	何勇, 李明武, 王華新, 等. 新輔助化療對肺癌患者肺血管脆性的影響. 中國肺癌雜志, 2007, 10(6): 495-499.
14.	Doddoli C, Thomas P, Thirion X, et al. Postoperative complica-tions in relation with induction therapy for lung cancer. Eur J Cardiothorac Surg, 2001, 20(2): 385-390.
15.	Roberts JR, Eustis C, Devore R, et al. Induction chemotherapy increases perioperative complications in patients undergoing resection for non-small cell lung cancer. Ann Thorac Surg, 200l, 72(3): 885-888.
16.	Walter W, Ilhan I, et al. Carinal resection and sleeve pneumo-nectomy. Thorac Surg Clin, 2014, 24(1): 77-83.
17.	顧連兵, 吳春培, 孫來榮, 等. 氣管隆突切除成形術的呼吸管理. 腫瘤基礎與臨床, 2006, 19(2): 157-158.
18.	高天華, 周允中, 馬毓芬, 等. 氣管、支氣管重建中的呼吸管理. 中國腫瘤臨床, 1995, 22(1): 10-13.
19.	仲崇文, 董耀眾. 氣管隆突支氣管成形術50例報告. 山東醫藥, 2003, 43(9): 37-37.
20.	薛磊, 徐志飛, 趙學維, 等. 胸部手術肋間神經冷凍鎮痛作用的臨床研究. 海軍醫學雜志, 2007, 28(4): 302-304.
21.	Eichenberger U, Greher M, Curatolo M. Ulrasound in interventional pain management. Tech Reg Anesth Pain Manag, 2004, 8(4): 171-178.
22.	趙云, 孟愛鳳, 馬圣香, 等. 23例隆突成形合并心臟大血管成形術患者的術后護理. 中華護理雜志, 2007, 42(11): 991-992.
23.	鐘鐳, 徐志飛, 孫耀昌, 等. 經氣管置管沖洗治療肺切除后支氣管胸膜瘺. 中國胸心血管外科臨床雜志, 2004, 11(3): 233-234.
24.	Alessandro G, Massimo O, Daniel B, et al. Carinal Resection. Thorac Surg Clin, 2014, 24(4): 477-484.
25.	Weder W, Inci I. Carinal resection and sleeve pneumonectomy. Thorac Surg Clin, 2014, 24(1): 77-83.

1. Sumin S, Joon SP, Young MS, et al. Carinal resection and rec-onstruction in thoracic malignancies. J Surg Oncol, 2014, 110(3): 239-244.
2. 邵豐, 許棟生, 鄒衛, 等. 支氣管、隆突成形術治療中央型肺癌72例臨床分析. 中國肺癌雜志, 2008, 1: 142-143.
3. Takeshi N, Naoya Y, Tomoshi T, et al. The evolution of broncho-plasty and broncho-angioplasty as treatments for lung cancer: evalu-ation of 30 years of data from a single institution. Eur J Cardiothorac Surg, 2016, 49(1): 300-306.
4. Nagayasu T, Matsumoto K, Tagawa T, et al. Factors affecting survival after bronchoplasty and broncho-angioplasty for lung cancer: single institutional review of 147 patients. Eur J Cardiothorac Surg, 2006, 29(4): 585-590.
5. Yildizeli B, Fadel E, Mussot S, et al. Morbidity, mortality, and long-term survival after sleeve lobectomy for non-small cell lung c-ancer. Eur J Cardiothorac Surg, 2007, 31(1): 95-102.
6. 孫立陽, 王國新, 楊朋, 等. 氣管隆突支氣管成形術的臨床應用. 中國現代手術學雜志, 2011, 15(1): 23-25.
7. Antonio D'A, Giulio M, Claudio A, et al. Pulmonary artery rec-onstruction with pulmonary vein conduit for lung cancer: medium-term results. Ann Thorac Surg, 2014, 98(3): 990-995.
8. Thirugnanam A. Initial experience with video-assisted thoracoscopic bronchoplasty. Eur J Cardio-Thorac Surg, 2013, 44(4): 616-623.
9. Giulia L, Franco S, Andrea DA, et al. Tracheo-bronchoplastic proce-dures for NSCLC: single-centre experience. Heart Lung Circ, 2015, 24(10): 1027-1032.
10. 龍建平, 熊衛民, 黃標通, 等. 氣管隆突重建、支氣管成形術治療中央型肺癌32例. 醫學臨床研究, 2007, 24(7): 1126-1128.
11. 蔣明, 許林, 張勤, 等. 隆突成形、心血管成形術治療局部晚期肺癌. 實用臨床醫藥雜志, 2004, 8(6): 45-49.
12. 張毅支, 支修益, 許慶生, 等. 新輔助化療對術中和圍術期肺癌患者的影響. 中華醫學雜志, 2006, 86(23): 1647-1648.
13. 何勇, 李明武, 王華新, 等. 新輔助化療對肺癌患者肺血管脆性的影響. 中國肺癌雜志, 2007, 10(6): 495-499.
14. Doddoli C, Thomas P, Thirion X, et al. Postoperative complica-tions in relation with induction therapy for lung cancer. Eur J Cardiothorac Surg, 2001, 20(2): 385-390.
15. Roberts JR, Eustis C, Devore R, et al. Induction chemotherapy increases perioperative complications in patients undergoing resection for non-small cell lung cancer. Ann Thorac Surg, 200l, 72(3): 885-888.
16. Walter W, Ilhan I, et al. Carinal resection and sleeve pneumo-nectomy. Thorac Surg Clin, 2014, 24(1): 77-83.
17. 顧連兵, 吳春培, 孫來榮, 等. 氣管隆突切除成形術的呼吸管理. 腫瘤基礎與臨床, 2006, 19(2): 157-158.
18. 高天華, 周允中, 馬毓芬, 等. 氣管、支氣管重建中的呼吸管理. 中國腫瘤臨床, 1995, 22(1): 10-13.
19. 仲崇文, 董耀眾. 氣管隆突支氣管成形術50例報告. 山東醫藥, 2003, 43(9): 37-37.
20. 薛磊, 徐志飛, 趙學維, 等. 胸部手術肋間神經冷凍鎮痛作用的臨床研究. 海軍醫學雜志, 2007, 28(4): 302-304.
21. Eichenberger U, Greher M, Curatolo M. Ulrasound in interventional pain management. Tech Reg Anesth Pain Manag, 2004, 8(4): 171-178.
22. 趙云, 孟愛鳳, 馬圣香, 等. 23例隆突成形合并心臟大血管成形術患者的術后護理. 中華護理雜志, 2007, 42(11): 991-992.
23. 鐘鐳, 徐志飛, 孫耀昌, 等. 經氣管置管沖洗治療肺切除后支氣管胸膜瘺. 中國胸心血管外科臨床雜志, 2004, 11(3): 233-234.
24. Alessandro G, Massimo O, Daniel B, et al. Carinal Resection. Thorac Surg Clin, 2014, 24(4): 477-484.
25. Weder W, Inci I. Carinal resection and sleeve pneumonectomy. Thorac Surg Clin, 2014, 24(1): 77-83.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Bronchial Sleeve Resection and Plasty, Carinal Resection and Reconstruction, and Angioplasty for Locally Advanced Central Type of Lung Cancer

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