[Early and late results of surgical treatment for bronchial carcinoids]

The aim of the study was to evaluate the efficacy and safety of surgical treatment of the bronchial carcinoids. Between 1983 and 1996 52 patients (pts) with typical carcinoid were operated. The group consisted of 23 males and 29 females aged from 20 to 68 years (mean 41.3 years). In the chest X-ray and CT scan round shadow were found in 21 (40.4%) cases, lung tissue atelectasis in 23 (44.1%) cases. The bronchial tree was normal in fiberoptic bronchoscopy in 8 cases. We performed 4 pneumonectomies, 3 wedge resection and 45 lobectomies (including 5 "sleeve" lobectomies). We haven't recorded any early post-op deaths. Only two pts (3.8%) developed post-op complications--cardiac arrhythmias. In two cases the surgical treatment was followed by radiotherapy for metastases in regional lymph nodes. The period of follow-up ranged from 3 to 166 months (mean 62.2 months). During that time we noticed the recurrence of tumor in 2 pts (3.8%). One patient died from cardiac reason. The 5-year survival among patients operated in the period 1983-1992 was 91.2%. The 10-year survival in the group of pts operated on between 1983 and 1987 was 90%.

The surgical treatment of bronchial carcinoid is method of choice, very efficient and safe.