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Khirurgiia (Mosk) ; (10): 78-87, 2023.
Artigo em Russo | MEDLINE | ID: mdl-37916561

RESUMO

OBJECTIVE: To analyze features of surgical treatment of central tracheal and bronchial carcinoid. MATERIAL AND METHODS: A retrospective analysis included 115 patients with carcinoid tracheal and bronchial tumors who have been examined and treated from 1974 to the present. The majority of patients (97, 84.3%) had central form of carcinoid of the trachea, bronchi and lungs. Of these, 95 (97.9%) ones underwent surgical treatment. RESULTS: We used pre- and intraoperative diagnostics including bronchotomy. This approach provided organ-sparing surgery with resection and reconstruction of the bronchi and trachea in 71 (74.7%) patients including complete preservation of lung function in 20 (21.1%) cases and lobectomy/segmentectomy with resection and reconstruction of the bronchi in 51 (53.7%) cases. Two patients underwent pneumonectomy with wedge-shaped and marginal resection and reconstruction of tracheal bifurcation. Postoperative complications developed in 4 (4.2%) patients, and 2 (2.1%) ones died. Overall 5-year survival after radical surgeries was 89.2% (100% in typical carcinoid and 78.0% in atypical carcinoid).


Assuntos
Neoplasias Brônquicas , Tumor Carcinoide , Humanos , Neoplasias Brônquicas/diagnóstico , Neoplasias Brônquicas/cirurgia , Traqueia/cirurgia , Traqueia/patologia , Estudos Retrospectivos , Brônquios/cirurgia , Pneumonectomia/efeitos adversos , Tumor Carcinoide/diagnóstico , Tumor Carcinoide/cirurgia
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