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Bronchoplasty

Stephen D. Dingley, DO, Meredith A. Harrison, MD, William R. Burfeind, MD
Bronchoplasty is a topic covered in the Pearson's General Thoracic.

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Key Points

  • A bronchoplastic procedure is a general term for a reconstructive technique of the bronchial lumen. It may be employed as part of a parenchymal-sparing operation in which a segment of bronchus is resected with diseased tissue and the remaining airway is anastomosed: a sleeve resection.
  • It should be considered in any patient, regardless of pulmonary function and ability to tolerate a pneumonectomy, with a central tumor that can be completely resected in this manner.
  • Sleeve resection provides at least an equivalent oncological outcome compared to pneumonectomy without additional morbidity.
  • Bronchoplastic procedures can safely be performed after neoadjuvant therapy without increased risk of complication.
  • Major, potentially lethal complications including bronchovascular and bronchopleural fistula are fortunately rare and occur at a rate less than 1%.

We thank the authors of the last edition’s chapter (François Tronc, Jocelyn Grégoire and Jean Deslauriers) for a wonderfully written and comprehensive review of the topic. This chapter includes their excellent sections on the history of the procedure and anatomical considerations. The technique section has been expanded upon to include new data about minimally invasive approaches.

-- To view the remaining sections of this topic, please or --

Key Points

  • A bronchoplastic procedure is a general term for a reconstructive technique of the bronchial lumen. It may be employed as part of a parenchymal-sparing operation in which a segment of bronchus is resected with diseased tissue and the remaining airway is anastomosed: a sleeve resection.
  • It should be considered in any patient, regardless of pulmonary function and ability to tolerate a pneumonectomy, with a central tumor that can be completely resected in this manner.
  • Sleeve resection provides at least an equivalent oncological outcome compared to pneumonectomy without additional morbidity.
  • Bronchoplastic procedures can safely be performed after neoadjuvant therapy without increased risk of complication.
  • Major, potentially lethal complications including bronchovascular and bronchopleural fistula are fortunately rare and occur at a rate less than 1%.

We thank the authors of the last edition’s chapter (François Tronc, Jocelyn Grégoire and Jean Deslauriers) for a wonderfully written and comprehensive review of the topic. This chapter includes their excellent sections on the history of the procedure and anatomical considerations. The technique section has been expanded upon to include new data about minimally invasive approaches.

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Last updated: March 17, 2020