heart–lung transplant
March 22, 2019

Bronchoplasty

Background

Bronchoplasty is a reconstruction or repair of the bronchus to restore the integrity of the lumen. Bronchoplasties have a remarkable role in management of benign and malignant pulmonary lesions. The first bronchoplasty was performed by Bigger in 1932. Various novel techniques have been used to treat a wide range of pathologic conditions. Bronchoplastic procedures for benign and low-grade malignant tumors of the airway and benign stenosis allow preservation of maximum amount of pulmonary parenchyma (see the image below). [12Benign and low-grade malignancies require only minimally clear margins for cure and are ideally suited to bronchoplastic resections. In typical lung resection procedures, any airway involved with tumor is resected with its associated lung parenchyma. This results in extensive resections in the setting of central tumors involving the proximal airways. With bronchoplastic techniques, the involved airway may be resected to negative margins and the remaining ends anastomosed, thus preserving the distal lung parenchyma. [3]

Tracheal stenosis. Tracheal stenosis.

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