Pediatric and Adult Telescopic Bronchial Sleeve Resections: Our 15 Years of Experience with robot-assisted, video-assisted and open Surgery.

IF 2.5 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-10-01 DOI:10.1053/j.semtcvs.2025.08.008

Leonardo Duranti, Luca Tavecchio, Luigi Rolli, Clarissa Uslenghi, Eodardo Ceruti, Michele Ferrari, Piergiorgio Solli

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引用次数: 0

Abstract

Introduction: The bronchial sleeve represents a pivotal advancement in thoracic surgery, allowing for oncological radicality while preserving respiratory function.

Methods: We present 29 cases of telescopic monofilament continuous suture bronchial sleeves out of a total of 43 bronchial sleeve resections performed by us.

Results: There were no mortalities, no bronchial positive margins, no local recurrences, and only one anastomotic fistula requiring pneumonectomy with open window thoracostomy, which closed after a few months (Fig. 2).

Conclusions: The telescopic intussusception technique avoids the significant problem of caliber discrepancy, and this type of suture consolidates with the physiological increases in airway pressure due to Valsalva maneuver or coughing, because the internal "endobronchial" pressure generated is applied radially on the smaller caliber bronchus, pushing it and causing it to adhere to the larger caliber external bronchus.

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儿童和成人支气管套筒切除术：我们在机器人辅助，视频辅助和开放手术方面有15年的经验。

支气管袖代表了胸外科的关键进步，允许肿瘤根治性，同时保留呼吸功能。方法：在我院43例支气管套切除术中，报告29例伸缩式单丝连续缝合支气管套。结果：无死亡，无支气管阳性切缘，无局部复发，仅有1例吻合口瘘需要全肺开窗开胸术，几个月后吻合口闭合（图2）。结论：套筒式肠套叠技术避免了明显的口径差异问题，这种缝合方式是随着Valsalva手法或咳嗽引起的气道压力的生理性增加而巩固的，因为产生的内部“支气管内”压力径向作用于小口径支气管，推动其并使其粘附到大口径外支气管上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.80

自引率

0.00%

发文量

324

审稿时长

12 days

期刊介绍： Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.