Abstract: Poster Presentations |

Videothoracoscopic Wedge Resection of the Bronchial Wall: An Alternative Option for Typical Bronchial Carcinoids FREE TO VIEW

Luis C. Losso, MD, PhD; Mario C. Ghefter, MD; Hassan A. Yassine, MD
Author and Funding Information

ABC Foundation School of Medicine, Sao Paulo, Brazil


Chest. 2003;124(4_MeetingAbstracts):233S-c-234S. doi:10.1378/chest.124.4_MeetingAbstracts.233S-c
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PURPOSE:  Bronchial carcinoids are low-grade malignant neoplasms. Typical carcinoid represents the best differenciated form and an adequate surgical resection offers the best prognosis. Is videothoracoscopy an alternative option to the resection of selected cases of typical carcinoids?

METHODS:  Videothoracoscopy was the approach for lesser curative resections in two centrally located typical carcinoid tumors. The first, a totally videothoracoscopic wedge resection of the bed of a typical carcinoid located at the right main bronchus previously enucleated by a successful diagnostic and therapeutic bronchoscopy. The second, a partial sleeve vats bronchoplasty with a small four centimeters incision for the resection of a typical carcinoid of the left main bronchus.

RESULTS:  Fronzen section analysis of the mediastinal and hilar lymph nodes and bronchial margins of the resected bronchial tissues were performed as well as immunohistochemical staining and electron microscopy. All the tissues were disease-free. The postoperative period was uneventful, with no air leaks and a five and seven days of hospitalization, respectively. Postoperative bronchoscopies showed no reductions of the bronchial lumens. There was no morbidity and no mortality in the six months follow-up.CONCLUSIONS: Videothoracoscopy in typical carcinod tumors maybe an alternative option for selected patients.

CLINICAL IMPLICATIONS:  A less invasive approach for curative resection of bronchial carcinoid tumors.

DISCLOSURE:  L.C. Losso, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM




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