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[左肺典型类癌的孤立性支气管成形术]

[Isolated bronchoplastic procedure for typical carcinoid of the left lung].

作者信息

Kharagezov D A, Lazutin Yu N, Mirzoyan E A, Stateshny O N

机构信息

National Medical Research Centre for Oncology, Rostov-on-Don, Russia.

出版信息

Khirurgiia (Mosk). 2023(2):102-110. doi: 10.17116/hirurgia2023021102.

Abstract

Lung carcinoids (LC) comprise neuroendocrine lung tumors of low (typical carcinoid) and intermediate (atypical carcinoid) grade of malignancy accounting for less than 2% of all lung neoplasms. In Europe, annual incidence of LC varies from 0.2 to 2 per 100 000. This value increased dramatically over the past 30 years. One of the causes is improvement of diagnostic methods. Compared to aggressive high-grade neuroendocrine lung cancer, natural course of early-stage LC is usually indolent. Therefore, surgery with preservation of as much normal lung tissue as possible is preferable for resectable tumors. Nevertheless, the number of isolated bronchial resections with preservation of the entire lung tissue is relatively small, and these procedures remain technically complex interventions. We present isolated resection of interlobular spur, lower medial wall of distal part of the left main bronchus and proximal part of the lower lobular bronchus for typical carcinoid with monobronchial anastomosis and preservation of the entire lung parenchyma.

摘要

肺类癌(LC)是一种神经内分泌性肺肿瘤,恶性程度较低(典型类癌)和中等(非典型类癌),占所有肺肿瘤的比例不到2%。在欧洲,LC的年发病率为每10万人0.2至2例。在过去30年中,这一数值急剧上升。原因之一是诊断方法的改进。与侵袭性高级别神经内分泌肺癌相比,早期LC的自然病程通常较为惰性。因此,对于可切除的肿瘤,尽可能保留正常肺组织的手术是首选。然而,保留整个肺组织的孤立支气管切除术数量相对较少,并且这些手术在技术上仍然是复杂的干预措施。我们展示了对典型类癌进行叶间嵴、左主支气管远端下内侧壁和下叶支气管近端的孤立切除,并进行单支气管吻合,同时保留整个肺实质。

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