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Eur J Cardiothorac Surg 2002;21:883-887
© 2002 Elsevier Science NL

Surgery in bronchial carcinoids: experience with 83 patients

Ismail Cüneyt Kurul^*, Salih Topçu, Irfan Tatepe, Ülkü Yazici, Tamer Altinok, Güven Çetin

Department of Thoracic Surgery, Ataturk Center For Chest Disease and Thoracic Surgery, Ankara, Turkey

Received 30 November 2001; received in revised form 24 January 2002; accepted 1 February 2002.

* Corresponding author. Oyak Sitesi Blok 1/12, 06610 Çankaya, Ankara, Turkey. Tel.: +90-312-355-2110
e-mail: ckurul{at}hotmail.com

Objective: With the changing clinical presentation and histopathological pattern, carcinoids are now considered as a distinct and well-defined group in the neuroendocrine tumour scale. Surgery, especially parenchyma-sparing operations, are the treatment of choice for carcinoids. Methods: Over a 25-year period, 83 patients with typical carcinoid tumour underwent thoracotomy on in our institution. The records of the patients were reviewed and the results were evaluated. Results: The diagnosis was made with radiological methods and bronchoscopy. Cough and recurrent pneumonia were the most common symptoms. A variety of surgical procedures were performed. Thirty of the 83 patients underwent tissue-saving operations. Twenty patients underwent bronchotomy excision, eight were managed with sleeve or partial sleeve resective procedures, and two underwent segmentectomy. Conclusions: Conservative surgery is the treatment of choice of carcinoids, which were histologically typical and anatomically endobronchial. Especially for polypoid type carcinoids and for selected cases with sessile type, bronchotomy with simple excision and sleeve resections is a simple and effective method. As these types of operations produce a better functional result, they should be encouraged in these patients.

Key Words: Bronchial carcinoid • Sleeve resection • Bronchotomy • Simple excision

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