Sleeve resection and other bronchoplasties in the surgery of bronchogenic tumors.

One-hundred and fifty-eight sleeve resections and other bronchoplasties were performed for bronchogenic tumors in the last 20 years. Carcinoma was the indication in 143 and other tumors in 15 cases. Histology and staging conditions are outlined. The importance of the intraoperative histological or cytological examination of the resection margin is emphasized. One-hundred and twenty operations were performed on the right and 38 on the left side. In 12 cases of semimalignant or benign tumors, bronchoplasty without lung resection was carried out. The use of a wedge bronchoplasty instead of the customary sleeve resection is discussed. Right lower sleeve lobectomy with replantation of the middle lobe is described. Mortality was 6.3%. Fifty-six patients were alive more than five years later (35.4%). Forty-six of them were operated upon for carcinoma which corresponds to a 32% five years survival.