Skip to main content
Top
Published in: Indian Journal of Surgical Oncology 3/2014

01-09-2014 | Case Report

Bronchoscopic Debulking Followed by Bronchoplastic Procedure Helps in Limiting Lung Resection in a Bronchial Carcinoid: A Case Report

Authors: Durgatosh Pandey, Palaniappan Ramanathan, Bharat Bhushan Khurse, Sachidanand Jee Bharati, Seema Mishra

Published in: Indian Journal of Surgical Oncology | Issue 3/2014

Login to get access

Abstract

Bronchoplasty is a conservative procedure in lung surgeries used in the past for patients with poor functional status but recently these procedures have been performed in low grade malignant tumors of lung avoiding extensive morbid procedure like pneumonectomy without compromising the oncologic outcome. We describe a case of bronchial carcinoid treated by bronchoscopic intervention followed by wedge bronchoplasty. The importance of bronchoscopic debulking of the tumor for accurate assessment of its extent has been highlighted. A parenchyma preserving pulmonary resection can then be performed with bronchoplastic technique, thus avoiding pneumonectomy.
Literature
1.
go back to reference Khargi K, Duurkens VA, Versteegh MM et al (1996) Pulmonary function and postoperative complications after wedge and flap reconstructions of the main bronchus. J Thorac Cardiovasc Surg 112(1):117–23PubMedCrossRef Khargi K, Duurkens VA, Versteegh MM et al (1996) Pulmonary function and postoperative complications after wedge and flap reconstructions of the main bronchus. J Thorac Cardiovasc Surg 112(1):117–23PubMedCrossRef
2.
go back to reference Harpole DH, Feldman JM, Buchanen S, Young WG, Wolfe WG (1992) Bronchial carcinoid tumors: a retrospective analysis of 126 patients. Ann Thorac Surg 54(1):50–54PubMedCrossRef Harpole DH, Feldman JM, Buchanen S, Young WG, Wolfe WG (1992) Bronchial carcinoid tumors: a retrospective analysis of 126 patients. Ann Thorac Surg 54(1):50–54PubMedCrossRef
3.
go back to reference Davila DG, Dunn WF, Tazelaar HD, Pairolero PC (1993) Bronchial carcinoid tumors. Mayo Clin Proc 68(8):795–803PubMedCrossRef Davila DG, Dunn WF, Tazelaar HD, Pairolero PC (1993) Bronchial carcinoid tumors. Mayo Clin Proc 68(8):795–803PubMedCrossRef
4.
go back to reference Daddi G, Puma F, Avenia N, Santoprete S, Casadei S, Urbani M (1998) Resection with curative intent after endoscopic treatment of airway obstruction. Ann Thorac Surg 65(1):203–7PubMedCrossRef Daddi G, Puma F, Avenia N, Santoprete S, Casadei S, Urbani M (1998) Resection with curative intent after endoscopic treatment of airway obstruction. Ann Thorac Surg 65(1):203–7PubMedCrossRef
5.
go back to reference Bueno R, Wain J, Wright C, Moncure AC, Grillo HC, Mathisen DJ (1996) Bronchoplasty in the management of low-grade airway neoplasm and benign bronchial stenoses. Ann Thorac Surg 62(3):824–9PubMedCrossRef Bueno R, Wain J, Wright C, Moncure AC, Grillo HC, Mathisen DJ (1996) Bronchoplasty in the management of low-grade airway neoplasm and benign bronchial stenoses. Ann Thorac Surg 62(3):824–9PubMedCrossRef
6.
go back to reference Van Schil PE, Brutel de la Riviere A (1996) Long-term survival after bronchial sleeve resection: univariate and multivariate analyses. Ann Thorac SurgAnn Thorac Surg 61(4):1087–91CrossRef Van Schil PE, Brutel de la Riviere A (1996) Long-term survival after bronchial sleeve resection: univariate and multivariate analyses. Ann Thorac SurgAnn Thorac Surg 61(4):1087–91CrossRef
7.
go back to reference Newton JR Jr, Grillo HC, Mathisen DJ (1991) Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg 52(6):1272–1280PubMedCrossRef Newton JR Jr, Grillo HC, Mathisen DJ (1991) Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg 52(6):1272–1280PubMedCrossRef
8.
go back to reference Cerfolio RJ, Deschamps C, Allen MS, Trastek VF, Pairolero PC (1996) Mainstem bronchial sleeve resection with pulmonary preservation. Ann Thorac Surg 61(5):1458–1463PubMedCrossRef Cerfolio RJ, Deschamps C, Allen MS, Trastek VF, Pairolero PC (1996) Mainstem bronchial sleeve resection with pulmonary preservation. Ann Thorac Surg 61(5):1458–1463PubMedCrossRef
9.
go back to reference El Jamal M, Nicholson AG, Goldstraw P (2000) The feasibility of conservative resection for carcinoid tumours: is pneumonectomy ever necessary for uncomplicated cases? Eur J Cardiothorac Surg 18(3):301–306PubMedCrossRef El Jamal M, Nicholson AG, Goldstraw P (2000) The feasibility of conservative resection for carcinoid tumours: is pneumonectomy ever necessary for uncomplicated cases? Eur J Cardiothorac Surg 18(3):301–306PubMedCrossRef
10.
go back to reference Fadel E, Yildizeli B, Chapelier AR, Dicenta I, Mussot S, Dartevelle PG (2002) Sleeve lobectomy for bronchogenic cancers: factors affecting survival. Ann Thorac Surg 74(3):851–859PubMedCrossRef Fadel E, Yildizeli B, Chapelier AR, Dicenta I, Mussot S, Dartevelle PG (2002) Sleeve lobectomy for bronchogenic cancers: factors affecting survival. Ann Thorac Surg 74(3):851–859PubMedCrossRef
11.
go back to reference Lucchi M, Melfi F, Ribechini A et al (2007) Sleeve and wedge parenchyma sparing bronchial resections in low grade neoplasms of bronchial airway. J Thorac Cardiovasc Surg 134(2):373–7PubMedCrossRef Lucchi M, Melfi F, Ribechini A et al (2007) Sleeve and wedge parenchyma sparing bronchial resections in low grade neoplasms of bronchial airway. J Thorac Cardiovasc Surg 134(2):373–7PubMedCrossRef
12.
go back to reference Kruger M, Uschinsky K, Hassler K, Engelmann C (1998) Postoperative complications after bronchoplastic procedures in the treatment of bronchial malignancies. Eur J Cardiothorac Surg 14(1):46–53PubMedCrossRef Kruger M, Uschinsky K, Hassler K, Engelmann C (1998) Postoperative complications after bronchoplastic procedures in the treatment of bronchial malignancies. Eur J Cardiothorac Surg 14(1):46–53PubMedCrossRef
13.
go back to reference Deslauriers J, Tronc F, Gregoire J (2009) History and current status of bronchoplastic surgery for lung cancer. Gen Thorac Cardiovasc Surg 57(1):3–9PubMedCrossRef Deslauriers J, Tronc F, Gregoire J (2009) History and current status of bronchoplastic surgery for lung cancer. Gen Thorac Cardiovasc Surg 57(1):3–9PubMedCrossRef
14.
go back to reference Park SY, Lee HS, Jang HJ (2012) Wedge bronchoplastic lobectomy for non–small cell lung cancer as an alternative to sleeve lobectomy. J Thorac Cardiovasc Surg 143(4):825–31PubMedCrossRef Park SY, Lee HS, Jang HJ (2012) Wedge bronchoplastic lobectomy for non–small cell lung cancer as an alternative to sleeve lobectomy. J Thorac Cardiovasc Surg 143(4):825–31PubMedCrossRef
Metadata
Title
Bronchoscopic Debulking Followed by Bronchoplastic Procedure Helps in Limiting Lung Resection in a Bronchial Carcinoid: A Case Report
Authors
Durgatosh Pandey
Palaniappan Ramanathan
Bharat Bhushan Khurse
Sachidanand Jee Bharati
Seema Mishra
Publication date
01-09-2014
Publisher
Springer India
Published in
Indian Journal of Surgical Oncology / Issue 3/2014
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI
https://doi.org/10.1007/s13193-014-0322-7

Other articles of this Issue 3/2014

Indian Journal of Surgical Oncology 3/2014 Go to the issue