title: Surgery in bronchial carcinoids: experience with 83 patients.
abstract: OBJECTIVE
  With the changing clinical presentation and histopathological pattern, carcinoids are now considered as a distinct and well-defined group in the neuroendocrine tumour scale. Surgery, especially parenchyma-sparing operations, are the treatment of choice for carcinoids.
  
  
  METHODS
  Over a 25-year period, 83 patients with typical carcinoid tumour underwent thoracotomy on in our institution. The records of the patients were reviewed and the results were evaluated.
  
  
  RESULTS
  The diagnosis was made with radiological methods and bronchoscopy. Cough and recurrent pneumonia were the most common symptoms. A variety of surgical procedures were performed. Thirty of the 83 patients underwent tissue-saving operations. Twenty patients underwent bronchotomy excision, eight were managed with sleeve or partial sleeve resective procedures, and two underwent segmentectomy.
  
  
  CONCLUSIONS
  Conservative surgery is the treatment of choice of carcinoids, which were histologically typical and anatomically endobronchial. Especially for polypoid type carcinoids and for selected cases with sessile type, bronchotomy with simple excision and sleeve resections is a simple and effective method. As these types of operations produce a better functional result, they should be encouraged in these patients.
authors.affiliation: Department of Thoracic Surgery, Ataturk Center For Chest Disease and Thoracic Surgery, Ankara, Turkey. ckurul@hotmail.com
authors.forename: Ismail Cüneyt
authors.initials: IC
authors.lastname: Kurul
authors.forename: Salih
authors.initials: S
authors.lastname: Topçu
authors.forename: Irfan
authors.initials: I
authors.lastname: Taştepe
authors.forename: Ulkü
authors.initials: U
authors.lastname: Yazici
authors.forename: Tamer
authors.initials: T
authors.lastname: Altinok
authors.forename: Güven
authors.initials: G
authors.lastname: Cetin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D001999:Bronchoscopy; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012189:Retrospective Studies; D013908:Thoracotomy; D016896:Treatment Outcome