[Bronchial and pulmonary arterial sleeve resection and reconstruction in the treatment of central NSCLC].
OBJECTIVE
To evaluate the indications and surgical procedure of bronchial and pulmonary artery sleeve resection for patients with centrally located non-small cell lung cancer, and how to prevent complications.


METHODS
From July 1989 to Aug 2000, 32 cases of central NSCLC were treated with bronchial and pulmonary arterial sleeve resection and reconstruction. The results were retrospectively analyzed.


RESULTS
The complication rate was 25.0% (8/32), the mortality rate in 30-day postoperation was 6.3% (2/32), the overall 1-, 3- and 5-year survival rate was 82.8% (24/29), 50.0% (11/22) and 33.3% (4/12), respectively.


CONCLUSIONS
Bronchial and pulmonary arterial sleeve resection and reconstruction in the treatment of patients with central NSCLC can not only maximize preservation of functional pulmonary parenchyma and improve patients, quality of life, but also provide an opportunity for those patients with poor pulmonary function to receive surgical resection of the tumor.
Wang
Guo-fan
GF
Department of Thoracic Surgery, Shandong Tumor Hospital & Institute, Jinan 250117, China.
Zhang
Bai-jiang
BJ
Li
Dao-tang
DT
Zhang
Xing-guo
XG
Luo
Jing-yu
JY
Liu
Xi-bin
XB
D000328:Adult; D000368:Aged; D001980:Bronchi / Q000601:surgery*; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011651:Pulmonary Artery / Q000601:surgery*; D019651:Plastic Surgery Procedures