Balawi A, Gamondès J P, Adeleine P, Zhang J, Loire R, Maret G
Service de Chirurgie Thoracique, Hôpital Louis-Pradel, BP Lyon, Montchat.
Ann Chir. 1991;45(2):155-61.
Thirty-nine patients were operated for bronchial carcinoid tumour between 1967 and 1988 out of a total of 97 so-called benign bronchial tumours. Based on a clinical, radiological and endoscopic assessment of this series, the authors discuss the modalities of surgical treatment which depend on the site of the tumour. Treatment consisted of enucleation for the two peripheral carcinoid tumours and tracheobronchectomy in 6 cases (15%) and pulmonary resection in 31 cases (79%) for the central tumours. Lung resection was performed alone in 25 cases (64%): 1 pneumonectomy, 2 bilobectomies, 19 lobectomies and 3 segmental resections. The lung resection was associated with bronchial resection-anastomosis in 6 cases (15%). The immediate postoperative course was uneventful. There were two deaths: one from myocardial infarction after one year and one from hepatic metastases (malignant carcinoid) after 7 years.
在1967年至1988年间,97例所谓的良性支气管肿瘤患者中,有39例接受了支气管类癌肿瘤手术。基于对该系列病例的临床、放射学和内镜评估,作者讨论了取决于肿瘤部位的手术治疗方式。治疗方法包括对2例周围型类癌肿瘤进行摘除术,6例(15%)进行气管支气管切除术,31例(79%)中央型肿瘤进行肺切除术。25例(64%)仅进行了肺切除术:1例全肺切除术、2例双叶切除术、19例肺叶切除术和3例节段性切除术。6例(15%)肺切除术联合支气管切除吻合术。术后即刻病程平稳。有2例死亡:1例术后1年死于心肌梗死,1例术后7年死于肝转移(恶性类癌)。