July - September 2009, Volume 5, Issue 3

Nistor C, Motas N, Motas C, Davidescu M, Tetu M, Vasilescu F, Horvat T

Surgical procedures in broncho-pulmonary carcinoids - our experience of 92 consecutive cases

Acta Endo (Buc) 2009, 5 (3): 359-370
doi: 10.4183/aeb.2009.359

Aim: to evaluate the type of surgery performed in pulmonary carcinoids.\r\nMethods. Retrospective study on database of 2282 cases of surgical patients operated\r\nin the Clinic of Thoracic Surgery between 1994 and 2004, in which 92 cases of bronchopulmonary\r\ncarcinoid tumors were included, representing 4% of lung cancers. From these 92\r\ncases, 32 were typical and 60 were atypical carcinoids, 29 women and 63 men.\r\nResults. The mean age was 39.2?18 for typical carcinoid and 51.9?13 for atypical\r\ncarcinoid. More than half of the carcinoid tumors were in 1B stage - 48 cases; the rest of the\r\ntumors were staged as: stage 3A - 20 cases, stage 2B - 12 cases, stage 4 - 5 cases, stage 3B\r\n- 4 cases and stage 1A - 3 cases.\r\nAs surgical interventions, there were performed: 63 classical lung resections, 23\r\nbronchoplastic lung resections, 5 bronchial resections without lung parenchyma and 2\r\nbiopsies: 1 lung biopsy by video-assisted thoracoscopic surgery and 1 pleural biopsy by\r\nthoracoscopy. In 9 cases of atypical carcinoids, associated surgical procedures were\r\nimposed by the tumoral extension or by the associated disorders.\r\nConclusions. The bronchoplastic and bronchoanastomotic procedures have the major\r\nrole of preserving the most of the functional pulmonary parenchyma in case of low-grade\r\nmalignancies, such as carcinoid tumors. Along the pulmonary resection, the authors consider\r\nthat mediastinal lymphadenectomy is mandatory, even in case of typical carcinoid tumors.

Keywords: carcinoid, bronchoplastic, sleeve-resection, wedge-resection, lung resection

Correspondence: Claudiu Nistor MD, Clinic of Thoracic Surgery, Emergency Central Clinical Military Hospital, 134th Calea Plevnei, Bucharest 010242, Romania, Tel: 40727495005,\r\nE-mail: ncd58@yahoo.com