Bronchial ruptures due to blunt chest traumas are rarely encountered injuries and frequently late diagnosed. Once the diagnostic is established by bronchoscopy surgical treatment is mandatory and usually, the results are very good. In order to conserve as much as possible lung parenchyma minimal possible resection is required. We present four cases managed in our department by means of main bronchial sleeve resection--two on the right side and two on the left side--with good outcome. We were able to save the entire lung in all four cases despite long-term atelectasis.
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