[Conservative surgery of the pulmonary parenchyma and bronchial cancer (author's transl)].

In a series of 236 patients operated upon for bronchogenic carcinoma, a limited pulmonary resection with bronchial resection and anastomosis has been performed in 22 cases. There has been no postoperative mortality; the complications have been remarkably rare: anastomotic stenosis (1 case), temporary bronchial leak (2 cases), local recurrence (2 cases) by patients with hilar or mediastinal involvement, chylothorax (1 case). The pulmonary function also has not been much reduced by the operation, leaving the patients a good quality of life. Survival after bronchoplastic procedures as compared with pneumonectomy or lobectomy shows a mean survival of 30% to 12.5% and 21% respectively for the latter procedures.