Wang H, Cui Y, Jiang X, Zhao X, Zhao S, Chen S
Department of Thoracic Surgery , The Second Hospital of Shandong University , Jinan, Shandong 250033, P. R . China.
Zhongguo Fei Ai Za Zhi. 2001 Dec 20;4(6):429-30. doi: 10.3779/j.issn.1009-3419.2001.06.10.
To summarize the methods of bronchial sleeve resection in surgical treatment of 81 patients with pulmonary carcinoma during 1984-1999.
The mode of sleeve resection included sleeve resection of: right or left upper lobe in 33 cases, middle lobe in 6 cases, right or left lower lobe in 3 cases, middle lobewith parts of segmental bronchi of lower lobe in 5 cases, right upper lobewith parts of middle and basal segmental bronchi of lower lobe in 2 cases, left upper lobe with parts of basal segmental bronchi of lower lobe in 4 cases, left lower lobe with lingular segment in 5 cases, right or left dorsal segment of lower lobe in 8 cases, lingular segment in 2 cases, right or left main bronchusin 4 ( for patients with bronchial stenosis, without lobectomy) , right or left main bronchus plus upper and intermediate or lower lobe bronchus in 3 cases (without lobectomy) , intermediate bronchus with middle and lower lobe bronchus in 3 cases ( without lobectomy) , and double sleeve resection in 3 cases.
There was neither operative mortality nor serious complication. Pulmonary atelectasis occurred in 4 cases ( 3 cases in segmental bronchial sleeve resection) , and fiberoptic bronchoscopy might been required.
Bronchial sleeve resection and segmental bronchial sleeve resection can be recommended for surgical treatment of bronchial tumors and traumatic bronchial rupture or stenosis. And it is important to choose the suitable mode according to the character and the location of the lesion.
总结1984年至1999年间81例肺癌患者外科治疗中支气管袖状切除术的方法。
袖状切除方式包括：右或左上叶袖状切除33例，中叶袖状切除6例，右或左下叶袖状切除3例，中叶合并下叶部分段支气管袖状切除5例，右上叶合并下叶部分中叶及基底段支气管袖状切除2例，左上叶合并下叶部分基底段支气管袖状切除4例，左下叶合并舌段袖状切除5例，右或左下叶背段袖状切除8例，舌段袖状切除2例，右或左主支气管袖状切除4例（用于支气管狭窄患者，未行肺叶切除术），右或左主支气管加右上叶及中间段或下叶支气管袖状切除3例（未行肺叶切除术），中间段支气管加中叶及下叶支气管袖状切除3例（未行肺叶切除术），双袖状切除3例。
无手术死亡及严重并发症。4例发生肺不张（节段支气管袖状切除3例），可能需行纤维支气管镜检查。
支气管袖状切除术及节段支气管袖状切除术可推荐用于支气管肿瘤、外伤性支气管破裂或狭窄的外科治疗。根据病变特点及部位选择合适的术式很重要。
