Plásticas bronquiales como alternativa terapéutica en lesiones centrales

introduction: bronchoplastic procedures are useful in tumours of central location. the aim of this study is to describe the range of bronchoplastic procedures performed by the same surgical team at two centers in argentina. patients and methods: the study included 54 bronchoplastic therapies made from january 1978 through december 2009. the lesions were classified as benign, low grade of malignancy and high grade of malignancy. results: 29 sleeve lobectomies (54%), 21 sleeve resections (39%) and 4 lobectomies with bronchovascular plastic procedures (7%) were performed. the mean age of patients with low grade of malignancy was significantly lower (34 years vs. 53 years; p = 0.0025), whereas male prevalence (37.5% vs 75%, p = 0.051), smoking habit history (31% vs 75%, p = 0.002) and number of bronchovascular plastic procedures (2.5% vs 37.5%, p = 0.002) was higher in cases of high grade of malignancy. the risk of death was 9 times higher in these patients (hr 8.64, 95% ci 1.6-47.7, p = 0.013) but no significant differences in survival at 5 and 10 years between the two groups were observed. conclusions: bronchoplastic procedures allow oncologic resection with preservation of lung parenchyma without affecting survival.