Sleeve resection of the left main bronchus. A new technique.

Bronchial sleeve resection, as an isolated procedure or combined with lobectomy, is today a widely accepted treatment of endobronchial adenoma. Among the inherent technical problems is adequate ventilation of the contralateral lung after opening of the bronchus on the affected side. This problem is easily solved by using the Carlens double-lumen tracheal tube when a sleeve resection is planned on the right side or on the left side distally to the bifurcation of the main bronchus.