title: [Bronchial sleeve lobectomy and carinal resection in the treatment of central lung cancer: a report of 92 cases].
abstract: BACKGROUND
  Surgery is the best treatment for early and middle stage non-small cell lung cancer. The aim of this study is to summarize the experience of bronchial sleeve mortality lobectomy and carinal resection in the treatment of 92 patients with central lung cancer from January, 1996 to May, 2010.
  
  
  METHODS
  A total of 92 patients with central lung cancer underwent pulmonary resection. Carinal resection and reconstruction were performed in 14 patients, bronchial sleeve resection in 70 patients, and bronchial sleeve combined with pulmonary artery sleeve lobectomy in 8 patients.
  
  
  RESULTS
  There was no operative mortality. The average operation time was 2 hours and 43 minutes. Postoperative complications such as pulmonary atelectasis occurred in 6.94% (7/92) of total group, and hoarseness in 4.35% (4/92). The 1, 3 and 5 year survival rates were 80.7%, 59.6% and 31.5%.
  
  
  CONCLUSIONS
  Bronchial sleeve lobectomy and double sleeve lobectomy are capable of excising pulmonary tumor as much as possible while remaining healthy lung tissues. Carinal resection and reconstruction is helpful to extend the surgical indication, and increase the chance of successful resection.
authors.affiliation: Department of Thoracic Surgery, Nanjing Chest Hospital, Nanjing 210029, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Shao
authors.forename: Rusong
authors.initials: R
authors.lastname: Yang
authors.forename: Dongsheng
authors.initials: D
authors.lastname: Xu
authors.forename: Wei
authors.initials: W
authors.lastname: Zou
authors.forename: Guodong
authors.initials: G
authors.lastname: Ma
authors.forename: Hui
authors.initials: H
authors.lastname: Cao
authors.forename: Yanqing
authors.initials: Y
authors.lastname: Pan
mesh_terms: D000328:Adult; D000368:Aged; D001980:Bronchi / Q000601:surgery*; D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D015996:Survival Rate; D016896:Treatment Outcome