title: Pure bronchoplastic resections of the bronchus without pulmonary resection for endobronchial carcinoid tumours.
abstract: OBJECTIVE
  Bronchopulmonary carcinoid tumours are relatively uncommon primary lung neoplasms. A small proportion of these lesions are predominantly endobronchial and do not extend beyond the bronchial wall. Endoscopic resection can be performed, but carries around a one in three risk of local recurrence and, therefore, mandates long-term surveillance. An alternative is complete surgical resection via bronchoplastic resection. We present our experience of surgical resection in patients with endobronchial carcinoids.
  
  
  METHODS
  From 2000 to 2010, 13 patients (age 45±16 years, 10 males) underwent pure bronchoplastic resection, including systematic nodal dissection, for endobronchial carcinoid tumours, without the resection of lung parenchyma.
  
  
  RESULTS
  There was no significant operative morbidity or mortality. This is a retrospective review of a consecutive case series. The last follow-up for all patients was obtained in 2011. The mean maximum tumour size was 18±8 mm. No lymph node invasion was observed. The median follow-up was 6.3±3.3 years, with no regional recurrence. In 1 case, a tumourlet was identified at 5 years in the contralateral airway and viewed as a metachronous new lesion.
  
  
  CONCLUSIONS
  Bronchial sleeve resection is a safe procedure for suitably located endobronchial carcinoid tumours. Endoscopic resection should be reserved for patients who decline, or are unfit, for surgery.
authors.affiliation: Department of Thoracic Surgery, Royal Brompton Hospital, London, UK. kai.nowak@umm.de
authors.forename: Kai
authors.initials: K
authors.lastname: Nowak
authors.forename: Wolfram
authors.initials: W
authors.lastname: Karenovics
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Nicholson
authors.forename: Simon
authors.initials: S
authors.lastname: Jordan
authors.forename: Michael
authors.initials: M
authors.lastname: Dusmet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000473:pathology / Q000601:surgery*; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D047368:Tumor Burden; D055815:Young Adult
keywords: Bronchoplastic resection; Carcinoid; Endobronchial; Sleeve resection