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Surgery in bronchial carcinoids: experience with 83 patients
Ismail Cüneyt Kurul1, Salih Topçu, Irfan Taştepe
1Department of Thoracic Surgery, Ataturk Center For Chest Disease and Thoracic Surgery, Ankara, Turkey. ckurul@hotmail.com
Summary
Conservative surgery, such as bronchotomy and sleeve resections, is the preferred treatment for typical endobronchial carcinoid tumors. These parenchyma-sparing procedures offer better functional outcomes for patients.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Oncology
Background:
- Carcinoid tumors are increasingly recognized as a distinct neuroendocrine tumor category.
- Surgical intervention, particularly parenchyma-sparing techniques, is the primary treatment modality for carcinoids.
Purpose of the Study:
- To evaluate the efficacy of conservative surgical approaches for typical endobronchial carcinoid tumors.
- To assess the outcomes of parenchyma-sparing operations in a cohort of patients over 25 years.
Main Methods:
- Retrospective review of 83 patients with typical carcinoid tumors who underwent thoracotomy over a 25-year period.
- Analysis of diagnostic methods (radiology, bronchoscopy) and surgical procedures performed.
- Evaluation of treatment outcomes for various tissue-saving operations.
Main Results:
- Cough and recurrent pneumonia were the most frequent presenting symptoms.
- Thirty patients (36%) underwent conservative surgery: 20 bronchotomy excisions, 8 sleeve/partial sleeve resections, and 2 segmentectomies.
- A range of surgical procedures were employed, with a focus on tissue preservation.
Conclusions:
- Conservative surgical techniques, including bronchotomy with simple excision and sleeve resections, are effective for typical, endobronchial carcinoid tumors, especially polypoid types.
- Parenchyma-sparing operations yield superior functional results and should be encouraged.
- These findings support conservative surgery as the treatment of choice for selected carcinoid cases.