Main stem bronchus surgery with pulmonary preservation

Main stem bronchial sleeve resection is defined as the circumferential resection of the main stem bronchus. Resection of a main stem bronchus with pulmonary preservation is a therapeutic option when disease is limited to the main stem bronchus. Such resection of a main stem bronchus is often performed with sleeve lobectomy. Generally, for excision of lesions involving a single lobar bronchial orifice with extension into the main stem bronchus but sparing the other lobar bronchial orifices, a pulmonary lobectomy with sleeve resection of the main bronchus can be performed.