Bronchoanastomotic and Bronchoplastic Resections in Pulmonary Malignancy Retrospective Study 2000 - 2009O. Rus, C. Motaş , N. Motaş, D. Achim, T. Horvat
Original article, no. 4, 2014
Bronchial resections are surgical procedures in whichbronchial continuity is interrupted, followed by reconstructionof resected ends through terminal anastomosis or various formsof plastic procedures. The purpose of these interventions is topreserve functional lung parenchyma. These procedures areindicated in tumors with central location as an alternative topneumonectomies, serving to preserve maximum functionallung parenchyma.Material and Methods: We considered bronchoanastomotic andbronchoplastic procedures performed in our clinic over theperiod 2000-2009, for malignancy. There were 52 bronchoanastomoticresections and 9 bronchoplastic resections ofwhich we analysed 40 bronchoanastomotic resections and 4bronchoplastic resections (44 cases) Ã‚+- associated resection. Weexcluded cases with non-malignant pathology or those withincomplete data at the beginning of the study. Results: The importance of the main factors involved inrelation with survival was calculated. We considered the type ofsurgery performed, histological type, TNM stage, and characteristicsof the study group (age, sex). We found statisticallysignificant correlations between survival and histopathology ofmalignancy with a better survival for lung carcinoids,especially for typical carcinoid tumors. TNM stage did notsignificantly influence survival, but N2 nodal involvement,according to the statistics, shows a poor prognosis. Age isanother statistical significant factor correlated with postoperativelife expectancy, patients over 65 years old having aworse postoperative survival.Conclusions: In the corresponding lung malignant pathology,bronchoanastomotic bronchoplastic resections are indicated,but one must take into account the patient's age before submissionto surgery, the histopathologic type and N2 nodalinvolvement.