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Ann Thorac Surg 1981;32:19-22
© 1981 The Society of Thoracic Surgeons

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Articles

The Choice of Operation for Bronchial Carcinoids

From the Departments of Thoracic Surgery and Lung Medicine, University Hospital, Uppsala, Sweden

Accepted for publication February 6, 1981.

^* Address reprint requests to Dr Åberg, Department of Thoracic Surgery, University Hospital, 750 14 Uppsala 14, Sweden

In a review of the literature, 1,392 patients with bronchial carcinoids were found. Of these, there were 313 patients for whom individual data with regard to type of operation, follow-up period, and outcome were given. Actuarial curves for proportions of patients who had not died of the disease or who had not undergone reoperation for residual disease were constructed for each type of operation.

The prognosis up to 20 years after surgical treatment for bronchial carcinoids is excellent. For 15 to 20 years postoperatively, the prognosis after a lobectomy is excellent and after a pneumonectomy, slightly worse. The prognosis after a lung parenchyma-saving operation (wedge or segmental resection and bronchoplastic procedures) is similar to that after a lobectomy up to 7 years postoperatively. After that, the proportion of disease-free patients declines precipitously. At 20 years the difference in comparison with a lobectomy is statistically significant for both wedge or segmental resections and bronchoplastic procedures. Parenchyma-saving operations cannot therefore be said to be radical. A policy for decision-making at the operating table is formulated.

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