title: Conservative and bronchoplastic resection for bronchial carcinoid tumours.
abstract: From January 1974 to December 1987, 45 cases of bronchial carcinoid were surgically managed at our Unit, 44 of which were evaluated. All patients but 2 were submitted to fiberoptic bronchoscopy prior to surgery. A standard resection was performed in 19 cases (13 lobectomies, 4 bilobectomies and 2 pneumonectomies). In 11 cases, pulmonary resection was complemented with a bronchoplastic technique (6 lobectomies, 2 bilobectomies, 2 pneumonectomies, 1 segmentectomy). Four cases were managed by minimal resections (2 segmental, 1 wedge, 1 enucleation) and 8 others by bronchotomy and local resection without the sacrifice of lung tissue. There were two major postoperative complications and no operative mortality. Mean follow-up has been 53 months and no local bronchial recurrence has been observed although 2 patients have developed distant metastases, with 1 death. The absence of local recurrence in a series in which more than 50% of patients were treated with some form of conservative surgery seems to indicate that resection of lung tissue should be avoided whenever possible.
authors.affiliation: Section of Thoracic Surgery, Hospital Doce de Octubre, Madrid, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Toledo
authors.forename: R
authors.initials: R
authors.lastname: Roca
authors.forename: J A
authors.initials: JA
authors.lastname: Antón
authors.forename: J L
authors.initials: JL
authors.lastname: Martin de Nicolás
authors.forename: G
authors.initials: G
authors.lastname: Varela
authors.forename: P
authors.initials: P
authors.lastname: Yuste
mesh_terms: D000328:Adult; D000368:Aged; D001980:Bronchi / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000601:surgery*; D002276:Carcinoid Tumor / Q000601:surgery*; D005260:Female; D006801:Humans; D008168:Lung / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011379:Prognosis