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