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Ann Thorac Surg 1996;61:1462-1463
© 1996 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 1458.

DR HAROLD C. URSCHEL, JR, (Dallas, TX): I compliment Dr Cerfolio on an excellent presentation that brings to our attention an important aspect of bronchoplasty. I had not planned to discuss this, but Dr Deschamps gave me the manuscript, and I will emphasize two points that are in it.

Sir Clement Price Thomas published the first account of bronchoplasty resection. Actually, Gerbauer performed the first bronchoplasty for benign disease and I think Dr Robert Shaw did the first for malignant disease. Sir Clement Price Thomas was in the United States, saw them do it, went home, did one, and reported it earlier. The first one for cancer was done in Dallas, to the best of my knowledge. That group reported its results in 1955, and we did it again in 1970.

The important thing is that the morbidity and mortality for pneumonectomy are high. Therefore, lung tissue should be spared whenever possible. Bronchoplasty is very difficult, particularly in the left mainstem bronchus. I think this presentation by Dr Cerfolio is very well done.

I did not have a chance to review our data, but I think we have done more than 300 bronchoplasties. Dr. Cerfolio, how many bronchoplasties does this series of 22 represent, not total pulmonary resections but bronchoplasty procedures? We have roughly 40 for just . . . [Full Text of this Article]


Related Article

Mainstem Bronchial Sleeve Resection With Pulmonary Preservation
Robert J. Cerfolio, Claude Deschamps, Mark S. Allen, Victor F. Trastek, and Peter C. Pairolero
Ann. Thorac. Surg. 1996 61: 1458-1462. [Abstract] [Full Text]





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Copyright © 1996 by The Society of Thoracic Surgeons.