Lung-preserving surgical treatment of patients with bronchial carcinoid

Abstract

Isolated bronchus resection for central cancer was performed in 25 patients including preoperative bronchoscopic removal of exophytic tumor in 20 (80%) observations in thoracic department of P. Gertsen Moscow Research Cancer Institute. According to morphological study typical carcinoid was diagnosed in 23 (92%) patients, atypical - in 2 (8%) cases. All patients underwent conventional mediastinal lymphadenectomy. Postoperative complications after bronchus resection developed in 6 (33.3%) patients. There were no deaths. Overall 5- and 10-year survival was 100% and 96% respectively. The authors consider that by strict indications combination of endoscopic removal with isolated bronchus resection preserves all pulmonary parenchyma without prejudice for surgical radicalism.

Evolution of tracheobronchial surgery

“…В 1990-е годы была получена Государственная премия за органосохраняющее лечение и патент на авторскую методику полибронхиальных анастомозов. В нашей клинике выполнено к текущему моменту 28 изолированных резекций бронхов [29].…”