Article and Video CATEGORIES

Cancer Journey

Search By

What Is a Sleeve Resection?
Author
GRACE Videos and Articles
 

Transcript

The next question that I’m often asked is: when a patient has a central tumor, a tumor that’s down the central airway to the lung at the base of the lung, historically that would require one to take the entire lung out or do a pneumonectomy. What we’ve realized is that when you do that, you may take that area with the mass out, but you’re also taking out a significant amount of normal lung and causing a good bit of morbidity to that patient. So we have found that if the tumor is only locally invasive to the central airway, you can cut that airway above and below where the mass is and sew the other parts of the lung back together and actually save the remainder of the lung and I probably do 20 or more of these a year, I’m one of the busier surgeons in the country that does sleeve resections, and they’re really, really useful.

Generally when the patient has a tumor that has grown out of one of their airways, that part of the lung is not functioning. If that’s all that we take out, then we actually leave them all of their functional lung, and the sleeve resections have been very helpful in patients who might otherwise be considered marginal for surgery. If you’re not taking anything out that’s functioning, you can actually take them though the operation very safely.

It does require them to participate in their care more than some of the other surgical procedures, and what I mean by that is that I tell all my patients after the sleeve, on the area where I’ve sewn the two pipes or the airways back together, secretions like to stick there, and so after surgery they have to get up, move around, cough, and deep breathe so that they can keep those areas open. Otherwise, their post-operative care is pretty much the same as any other patient, and their recuperation is very similar as well. I have found this to be quite useful in helping patients remove large tumors that are central then, but you can salvage a lot of the other airway.  I generally draw pictures to display this so they can see exactly what part of the lung we’re taking out and what part that we’re sewing back together.

Next Previous link

Previous PostNext Post

Related Content

Image
Blood Cancers OncTalk 2024
Video
  This event was moderated by Dr. Sridevi Rajeeve, Memorial Sloan Kettering, joined by speakers: Dr. Hamza Hashmi, Memorial Sloan Kettering, Dr. Michele Stanchina, University of Miami, Dr. Muhammad Salman Faisal, Oklahoma University, and Dr. Andrew Srisuwananukorn, Ohio State University Topics include: - Myeloma 101: Facts and Fiction of the 'Myeloma Marathon' - Updates in DLBCL - Treatment Basics of Bone Marrow Transplant - Frontline Therapies in Myelofibrosis - Panel Discussions and a Question-and-Answer session
Image
Trial data ASCO 2024
Video
In this video series from ASCO 2024, Drs. Aakash Desai and Fauwzi Abu Rous discuss trial dates and clinical data as presented at the 2024 ASCO. To watch the complete playlist, click here.         
Image
Bladder Cancer Video Library 2024
Video
Dr. Petros Grivas discusses intravesical treatment for patients with nonmuscle invasive, or early-stage, bladder cancer, the importance of participating in clinical trials for bladder cancer, combination therapy options for patients with metastatic or incurable bladder cancer, and the importance of family history of cancer and discussing that history with your doctor.

Forum Discussions

Hi Stan,

It's so good to hear you and yours are doing well and that you were able to spend time with both families for Thanksgiving.  I know it meant a...

Hi Stan!  It is good to hear from you -- I am so very happy you are doing well.  I agree with Janine that family and friends - our chosen family...

Recent Comments

JOIN THE CONVERSATION
So good to hear from you Stan
By dbrock on
Hi Stan,

It's so good to…
By JanineT GRACE … on
I could not find any info on…
By JanineT GRACE … on