Features of surgical treatment of central tracheal and bronchial carcinoid

V.D. Chkhikvadze

National Research Center of Radiology

ORCID: 0000-0002-0517-8997

S.Yu. Chaptykova

National Research Center of Radiology

ORCID: 0000-0003-3746-2703

N.A. Bolotina

National Research Center of Radiology

ORCID: 0000-0002-5337-567X

Features of surgical treatment of central tracheal and bronchial carcinoid

Authors:

V.D. Chkhikvadze, S.Yu. Chaptykova, N.A. Bolotina

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(10): 78‑87

DOI: 10.17116/hirurgia202310178

Downloaded: 2

Contact the author

Table of contents

To cite this article:

Chkhikvadze VD, Chaptykova SYu, Bolotina NA. Features of surgical treatment of central tracheal and bronchial carcinoid. Pirogov Russian Journal of Surgery. 2023;(10):78‑87. (In Russ.)
https://doi.org/10.17116/hirurgia202310178

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

Close metadata

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).

Keywords:

neuroendocrine tumors

carcinoid tracheal and bronchial tumors

preoperative and intraoperative diagnostics

tracheal and bronchial reconstruction

postoperative complications

mortality and long-term treatment outcomes

Authors:

V.D. Chkhikvadze

National Research Center of Radiology

ORCID: 0000-0002-0517-8997

S.Yu. Chaptykova

National Research Center of Radiology

ORCID: 0000-0003-3746-2703

N.A. Bolotina

National Research Center of Radiology

ORCID: 0000-0002-5337-567X

Received:

06.03.2023

Accepted:

23.03.2023

List of references:

WHO Classification of Tumours — 5th Edition. Thoracic Tumours; 2020.
Pikin OV, Trakhtenberg AKh, Sokolov VV, Ryabov AB, Telegina LV, Kolbanov KI, Amiraliyev AM, Glushko VA. Lung-preserving surgical treatment of patients with bronchial carcinoid. Khirurgiya. Zhurnal im. N.I. Pirogova. 2015;(3):19-25. (In Russ.). https://doi.org/10.17116/hirurgia2015319-25
Kharchenko VP, Galil-Ogli GF, Kuzmin IV. Oncomorphology of the lung. M. 1994. (In Russ.).
Parshin VD, Rusakov MA, Parshin AV, Zulufova ID. Surgery for carcinoid tumor of lungs, bronchi and trachea. Khirurgiya. Zhurnal im. N.I. Pirogova. 2021;(9):5-11. (In Russ.). https://doi.org/10.17116/hirurgia20210915
Laennec R. Traite de L’Auskultation Mediate et des Maladies des Poumons et du Coeur. Chaude: Paris; 1831.
Mueller H. Zur Entstehungsgeschichte der Bronchialerweiterungen. Halle University. H.A. Busch, Ermsleben. Germany; 1882.
Killian G. Ueber directe Bronchoscopie. Münchener medizinische Mochenschrift. 1898;45:844-847.
Jeckson C. Endothelioma of the right bronchus removed bay peroral bronchoscopy. The American Journal of the Medical Sciences. 1917;153:371-375.
Kramer R. Adenoma of the bronchus. Ann Otol Rhinol Laringol. 1930;39:689.
Hamperl H. Uber gutartige Bronchialtumoren (Cylindrome und Carcinoide). Virchows Archiv. 1937;300:46.
Oberndorfer S. Karcinoid tumoren des dunndarms. Pathology. 1907;1:423-429.
Caplin M, Cvols L. Neuroendocrine Tumors. Handbook of doctors. M.: Prakticheskaya medicina; 2010. (In Russ.).
The World Health Organization histological typing of lung tumours. Second edition. American Journal of Clinical Pathology. 1982;77:123-136.
Trakhtemberg AKh, Chissov VI, Frank GA. Neuroendocrine Lang Tumors. M.: Prakticheskaya medicina; 2012. (In Russ.).
Filosso PL, Falcoz PE, Paolo Solidoro P. The European Society of Thoracic Surgeons (ESTS) lung neuroendocrine tumors (NETs) database. Journal of Thoracic Disease. 2018;10(29):3528-3532. https://doi.org/10.21037/jtd.2018.04.104
Petrovskij BV, Perel’man MI, Korolyova NS. Tracheobronchial surgery. M.: Medicina; 1978. (In Russ.).

Close metadata