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Sleeve Resection

medical tourism for Sleeve Resection

For patients requiring sleeve resection surgery, medical tourism provides access to high-volume thoracic oncology centers in countries like India, Germany, South Korea, and Turkey at 40-60% lower costs than Western nations (typically 18,000−35,000). Leading JCI-accredited hospitals such as Medanta (India), Heidelberg University Hospital (Germany), and Asan Medical Center (South Korea) specialize in complex bronchovascular reconstructions, offering both open and minimally invasive VATS/Robotic approaches performed by surgeons with 100+ sleeve resection experiences.

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Sleeve Resection

Sleeve Resection

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Understanding the Procedure

Sleeve resection is an advanced lung-preserving technique where surgeons:
Remove diseased bronchi or pulmonary vessels
Reconnect healthy airway segments
Preserve maximum lung function

This approach avoids complete lung removal (pneumonectomy) in eligible patients.

When is This Surgery Recommended?

Ideal candidates typically have:

  • Central lung tumors near major airways
  • Limited cancer spread to bronchi
  • Adequate pulmonary reserve
  • Early-stage NSCLC (most common)

Surgical Approaches

1. Bronchial Sleeve Resection

  • Removal and reconnection of affected bronchus
  • Most frequent type

2. Vascular Sleeve Resection

  • For tumors involving pulmonary arteries
  • Requires vascular reconstruction

3. Combined Sleeve Resection

  • Addresses both airway and vascular involvement
  • Most complex variation

The Surgical Process

  1. General anesthesia with lung isolation
  2. Thoracotomy or VATS approach
  3. Tumor removal with margin verification
  4. Airway/vessel reconstruction
  5. Lymph node sampling for staging
  6. Chest tube placement

Advantages Over Pneumonectomy

  • Preserves 20-30% more lung function
  • Lower surgical mortality risk
  • Better long-term quality of life
  • Maintains exercise capacity

Recovery Timeline

PhaseDurationKey Considerations
Hospital Stay5-10 daysAir leak monitoring
Initial Recovery3-6 weeksPulmonary rehabilitation
Full Recovery3-6 monthsGradual activity return

Potential Complications

  • Anastomotic leak (most serious risk)
  • Stenosis at reconstruction site
  • Pneumonia or respiratory failure
  • Recurrent nerve injury

Long-Term Outcomes

  • 5-year survival comparable to pneumonectomy
  • 80-90% maintain good airway patency
  • Regular bronchoscopy recommended

Conclusion

This lung-sparing technique represents a significant advancement in thoracic oncology, offering comparable cancer control with superior functional outcomes.