1. [Lung-preserving surgical treatment of patients with bronchial carcinoid].
- Author
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Pikin OV, Trakhtenberg AK, Sokolov VV, Ryabov AB, Telegina LV, Kolbanov KI, Amiraliyev AM, and Glushko VA
- Subjects
- Adult, Bronchoscopy methods, Female, Humans, Male, Mediastinum, Moscow, Organ Sparing Treatments methods, Tomography, X-Ray Computed, Treatment Outcome, Bronchial Neoplasms pathology, Bronchial Neoplasms surgery, Carcinoid Tumor pathology, Carcinoid Tumor surgery, Lung diagnostic imaging, Lung pathology, Lung surgery, Lymph Node Excision methods, Pneumonectomy methods
- 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.
- Published
- 2015
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