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Eur J Cardiothorac Surg 2006;30:168-171
© 2006 Elsevier Science NL

Bronchoplastic lobectomy: do early results depend on the underlying pathology?

A comparison between typical carcinoids and primary lung cancer

^a Service de Chirurgie thoracique, Hôpitaux universitaires de Strasbourg, 67091 Strasbourg, France
^b Departement de pneumologie, Hôpitaux universitaires de Strasbourg, 67091 Strasbourg, France

Received 27 February 2006; received in revised form 23 March 2006; accepted 30 March 2006.

^_* Corresponding author. Tel.: +33 3 88 11 62 02; fax: +33 388 11 60 77. (Email: Gilbert.Massard{at}chru-strasbourg.fr).

Background: This study evaluates the impact of the underlying disease upon the surgical outcome of bronchoplastic lobectomy, comparing typical carcinoid tumours with primary lung carcinoma. Patients and methods: This retrospective study includes 98 consecutive patients (78 males, 20 females). Eighteen patients had a typical carcinoid tumour (group 1), and 80 had a primary bronchial carcinoma (group2). Fifty-six patients underwent bronchoplasty with full sleeve resection (10 patients from group 1, 46 from group 2) and 42 patients had a bronchoplasty with bronchial wedge resection (8 from group 1 and 34 from group 2). Right upper lobectomy was the most common procedure. We compared demographic data, surgical indications, the type of bronchoplasty and postoperative complications. Results: The average age in group 1 (38.5 ± 16.3 years; range 15–77) was significantly lower than in group 2 (61.4 ± 9.5 years; range 14–75) (p < 0.001). There were no postoperative deaths. Procedure-specific complications (anastomotic dehiscence and atelectasis) were found in 7 patients (8.75%) in group 2 (of which, three had a combination of two of the above-mentioned complications) but none (0%) in group 1 (p = 0.23). Seven patients from group 2 (8.75%) required treatment for a residual pneumothorax for none (0%) in group 1 (p = 0.23). The mean duration for air leak was comparable in both groups (p = 0.366). Three patients (16.67%) from group 1 had non-surgical complications compared to 17 (21.25%) in group 2 (of which, one had a combination of two non-surgical complications) (p = 0.35). Conclusion: Bronchoplastic resection is a safe operation in patients with carcinoid tumours and should be the reference for treatment.

Key Words: Carcinoid tumour • Lung cancer • Sleeve lobectomy