I. What is sleeve lobectomy Sleeve lobectomy, for short: sleeve resection. It can be divided into bronchial sleeve lobectomy and bronchial sleeve pulmonary artery sleeve lobectomy. In order to preserve normal adjacent lung tissue and avoid total resection of one lung, the diseased lobe and a section of the affected bronchus can be removed and then the upper and lower bronchus can be anastomosed, called a bronchial sleeve lobectomy. If the associated pulmonary artery is partially invaded, a portion of the pulmonary artery can also be removed at the same time and anastomosed end to end, called a bronchial sleeve lobectomy. During the operation, the hilar and mediastinal lymph nodes are also removed. Together, they are called “radical lung cancer surgery” and can significantly extend the survival time of patients after surgery. Sleeve resection pattern: The bronchus of the lung lobe containing the lesion (inside the circle) is cut off, and the upper and lower ends of the severed bronchus are then anastomosed to preserve the maximum amount of normal lung tissue. Who can undergo sleeve lobectomy? Bronchial sleeve lobectomy can be considered when the following conditions are met: (1) the tumor is located at the opening of the lobe; (2) the distance of the tumor from the bulge meets the need for anastomosis; (3) the metastatic lymph nodes in the hilum and mediastinum can be removed at the same time; (4) if the tumor involves the pulmonary artery trunk, pulmonary arterioplasty is required. C. What are the advantages of sleeve lobectomy and total pneumonectomy on one side? Before the introduction of sleeve lobectomy, the surgical approach for the above patients was usually a total pneumonectomy on one side. The impact of total pneumonectomy on lung function was significant, and the patient’s postoperative quality of life was greatly reduced. Sleeve lobectomy allows some patients to avoid total pneumonectomy while ensuring complete resection of the tumor, along with systematic lymph node dissection, to achieve “radical lung cancer surgery”. The mortality rate of bronchial sleeve lobectomy is about 2.5%-6%, which is lower than that of total pneumonectomy (about 6%-8%). Bronchial sleeve lobectomy embodies the principle of surgical treatment of lung cancer, which is to “remove the maximum amount of diseased lung tissue and preserve the maximum amount of healthy lung tissue”. Which is more complete in removing tumors, total pneumonectomy or bronchial sleeve lobectomy? Numerous clinical studies have shown that long-term follow-up results of bronchial sleeve lobectomy are better or similar to that of total pneumonectomy, and the quality of life is higher than that of total pneumonectomy. Fourth, minimally invasive sleeve lobectomy The sleeve lobectomy surgical approach perfectly combines the advantages of minimally invasive surgery and sleeve lobectomy. Minimally invasive surgery is to make several small holes about 37.5px long in the chest, the surgical incision is small but has a broader surgical field of view. We can clearly see the areas that are not easily and conveniently observed by traditional open-heart surgery, and then operate on the lesions through microsurgical instruments to completely remove all the diseased tissues to achieve the purpose of radical surgery, and the wound only needs to be closed with absorbable sutures or put on a Band-Aid, which is a new method of thoracic surgery, TV thoracoscopic minimally invasive Treatment Technique (VATS for short). V. Advantages and strengths of our minimally invasive sleeve lobectomy Traditional open-heart surgery has in fact been a reflection of a hospital’s comprehensive strength, while thoracoscopic minimally invasive surgery has higher requirements for thoracic surgeons and the anesthesia and equipment of the hospital where it is performed. Therefore, most of the thoracoscopic minimally invasive sleeve lobectomy surgeries are concentrated in large hospitals with high level. Our department takes the lead in carrying out minimally invasive thoracoscopic surgery in China, especially in Hubei Province, and is capable of performing various types of lung tumor surgery, and has accumulated considerable experience and is at the leading level in China, with satisfactory surgical results and low complication rate.