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

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.

Surgical management of bronchopulmonary carcinoids: A single center experience

“…Following bronchoscopic snaring of the polypoidal component of the tumor, the true extent of the tumor could be accurately defined, pneumonia resolved, and he underwent right upper lobectomy with wedge bronchoplasty. [18] Anatomical lung resection with preservation of functional lung parenchyma (lobectomy or sleeve resection/bronchoplastic procedure) is the treatment of choice, and every effort should be made to preserve functional lung. [13,16] Pneumonectomy should be avoided whenever possible; however, it may be necessary in cases where the distal lung parenchyma is destroyed due to long-standing obstruction.…”

Surgical experience of primary salivary gland tumors of lung: A case series

“…[10,11] Distant Metastasis at presentation is rare in PSGTTL. None of our patient had distant metastasis at presentation.…”

Multimodality multistaged management of large endobronchial carcinoid causing respiratory failure: A case report with review of literature

“…The clinicodemographic profile of cases and types of bronchoscopic intervention including outcome of treatment has been described in Supplementary Tables and , respectively. [ 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 ] Various bronchoscopic treatment options as mentioned in these studies were practiced depending on the physician's discretion, expertise, and available resources. All studies have reported high success rates with minimal complications and good long-term outcome.…”