Lowe J E, Bridgman A H, Sabiston D C
J Thorac Cardiovasc Surg. 1982 Feb;83(2):227-34.
Conservative pulmonary resection is appropriate for the majority of patients with endobronchial neoplasms of low-grade malignant potential in the proximal airways and for a small but significant number of patients with carcinoma. A portion of the bronchus is removed, with or without lobectomy, as a sleeve resection and a primary bronchial reanastomosis is performed to preserve ventilatory function. Bronchoplastic techniques can also be used to repair traumatic airway injuries and benign strictures. The present series of bronchoplastic procedures consists of 28 patients undergoing operation with pathological diagnoses of carcinoma in 20, adenoma in six, hamartoma in one, and a post-traumatic laceration in one. There were minimal morbidity and no deaths. From 1947 to 1981 a total of 565 bronchoplastic procedures have been reported in the literature. Of these, 504 were sleeve resections for carcinoma. The remaining 61 bronchoplastic procedures were for either excision of endobronchial adenomas or repair of airway injuries of strictures. It appears that bronchoplastic procedures are the ideal surgical therapy for benign endobronchial lesions, tumors of low-grade malignant potential, such as adenomas, and for repair of airway injuries. This approach is also applicable to a select group of patients with carcinoma of th lung, and long-term survival periods comparable to those achieved by pneumonectomy can be demonstrated.
对于大多数近端气道具有低级别恶性潜能的支气管内肿瘤患者以及一小部分但数量可观的肺癌患者，保守性肺切除术是合适的。切除部分支气管，可伴或不伴肺叶切除术，即袖状切除术，并进行原发性支气管再吻合术以保留通气功能。支气管成形技术也可用于修复创伤性气道损伤和良性狭窄。本系列支气管成形手术包括28例患者，其中20例病理诊断为癌，6例为腺瘤，1例为错构瘤，1例为创伤后撕裂伤。发病率极低，无死亡病例。从1947年到1981年，文献中共报道了565例支气管成形手术。其中，504例为癌的袖状切除术。其余61例支气管成形手术是用于切除支气管内腺瘤或修复气道损伤或狭窄。支气管成形手术似乎是治疗良性支气管内病变、低级别恶性潜能肿瘤（如腺瘤）以及修复气道损伤的理想手术治疗方法。这种方法也适用于一小部分肺癌患者，并且可以证明其长期生存期与肺切除术相当。
