title: Tracheo-bronchoplastic procedures for NSCLC: single-centre experience.
abstract: BACKGROUND
  The purpose of this study was to assess operative mortality, morbidity, and long-term results of the totality of sleeve resections performed at our institutions over the last eight years, including sleeve lobectomies (SL), carinoplasties with total lung sparing (CP) and sleeve pneumonectomies (SP).
  
  
  METHODS
  A retrospective review of all the patients who underwent a tracheo-bronchial resection for bronchial cancer between 2004 and 2012 was undertaken. Bronchial sleeve resections and combined bronchial and vascular sleeve resections were described.
  
  
  RESULTS
  The resulting group studied was 22 patients. SL and SP had a perioperative mortality rate of 7.1% and 28.5% respectively; morbidity rates were 21.4% for SL and 42.8% for SP. Global one-year and three-year survival was 75% and 63% respectively. One-year survival was 84% for SL and 53% for SP; three-year survival rate was 65% and 35% respectively (p=0.24). The absence of nodal metastatic involvement was associated with a better outcome with a three-year survival rate of 69% in the N0 group vs a 36% rate in the N+ group.
  
  
  CONCLUSIONS
  Sleeve resection procedures achieved satisfactory local control of the tumour in our experience even in patients with preoperative contraindication to pneumonectomy, with acceptable mortality and morbidity rates.
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy. Electronic address: giulia.luciano2@unibo.it.
authors.forename: Giulia
authors.initials: G
authors.lastname: Luciano
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Stella
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Dell'Amore
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: Giampiero
authors.initials: G
authors.lastname: Dolci
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: Greco
authors.initials: G
authors.lastname: Domenico
authors.affiliation: Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000401:mortality; D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D000075202:Contraindications; D005260:Female; D005500:Follow-Up Studies; D005541:Forced Expiratory Volume; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000401:mortality*; D009367:Neoplasm Staging; D059351:Organ Sparing Treatments; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate
keywords: Anastomotic; Bronchoplasty.; Carinal; Lung sparing; Sleeve lobectomy; Sleeve resection