Sleeve resection for lung cancer: a monocenter experience

Résumé fourni par la source

Extended anatomical lung resections involving the bronchial axis account for 6% to 8% of pulmonary resections for bronchopulmonary cancer. These procedures present a technical challenge and require surgical expertise. Methods: It’s a retrospective study including cases of bronchopulmonary cancer that underwent sleeve pulmonary resection between 2016 and 2024. Results: We collected 32 patients, predominantly males (90.6%), with a mean age of 60 years. Diagnosis of bronchopulmonary cancer was based on functional symptoms in 72% of cases. Hemoptysis and chest pain were the most frequent signs (62.4%). Radiological investigations identified a suspicious mass in 87.5% of cases. Bronchoscopic evaluation was contributive in 46.8% of cases, and histological diagnosis was obtained in 37.5% of cases. Pulmonary resections were performed via posterolateral thoracotomy in all patients and included 28 lobectomies, two lower bilobectomies, one pneumonectomy, and one segmentectomy. The indication for bronchial axis extension was tumor invasion in 62.5% of cases and metastatic lymph node invasion in 37.5% of cases. The average surgical duration was 198 ± 62min. The median postoperative hospital stay and drainage duration were 3 days. Histopathological examination of the surgical specimen revealed clear bronchial resection margins in 92.8% of cases. Postoperative morbidity was 28%, and mortality was 6.2%. During follow-up, 28 patients attended their one-month postoperative clinical and radiological check-up. Complications occurred in 28% of the patients within 30 days post-surgery. Conclusion: Sleeve resection is feasible in Tunisia. It does not result in increased morbidity and mortality compared to other types of lung resections.

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