Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review
<b>Background:</b> Bronchial sleeve resection with complex reconstruction is a rare and intricate surgical procedure, particularly when addressing metastatic carcinoid tumors. This case report details the surgical management of a young male with a typical carcinoid tumor metastasized to...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Surgical Techniques Development |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2038-9582/14/1/3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850087905690648576 |
|---|---|
| author | Abdelrahman Mohamed Mohamed Rahouma |
| author_facet | Abdelrahman Mohamed Mohamed Rahouma |
| author_sort | Abdelrahman Mohamed |
| collection | DOAJ |
| description | <b>Background:</b> Bronchial sleeve resection with complex reconstruction is a rare and intricate surgical procedure, particularly when addressing metastatic carcinoid tumors. This case report details the surgical management of a young male with a typical carcinoid tumor metastasized to the hilar and subcarinal lymph nodes. <b>Case Presentation:</b> A 28-year-old medically fit male presented with cough and occasional blood-tinged sputum for 2 months that was diagnosed to be due to a typical carcinoid tumor involving the left main bronchus, with metastasis to the hilar and subcarinal lymph nodes. The patient underwent a left bronchial sleeve resection with complex reconstruction of the left lower lobe bronchus. The reconstructed bronchus was then anastomosed to the main bronchus followed by hilar and subcarinal lymph nodes dissection. The surgical approach aimed to preserve lung parenchyma while ensuring complete tumor resection. Postoperative recovery was uneventful, with the patient demonstrating satisfactory respiratory function. Histopathological examination confirmed the complete resection of the carcinoid tumor and metastatic lymph nodes (hilar and inter-lobar LN (positive 2/5) and subcarinal LN (positive 1/6)). The patient had no signs of recurrence at the 3-month follow-up. <b>Conclusions:</b> This case highlights the feasibility and effectiveness of bronchial sleeve resection with bronchial reconstruction in managing metastatic carcinoid tumors. The successful outcome underscores the importance of meticulous surgical planning and execution in achieving favorable results in complex thoracic surgeries. |
| format | Article |
| id | doaj-art-6dace5f6e4e948878454a71cdf2c5faa |
| institution | DOAJ |
| issn | 2038-9582 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgical Techniques Development |
| spelling | doaj-art-6dace5f6e4e948878454a71cdf2c5faa2025-08-20T02:43:07ZengMDPI AGSurgical Techniques Development2038-95822025-01-01141310.3390/std14010003Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature ReviewAbdelrahman Mohamed0Mohamed Rahouma1Surgical Oncology Department, National Cancer Institute, Cairo University, Cairo 11796, EgyptSurgical Oncology Department, National Cancer Institute, Cairo University, Cairo 11796, Egypt<b>Background:</b> Bronchial sleeve resection with complex reconstruction is a rare and intricate surgical procedure, particularly when addressing metastatic carcinoid tumors. This case report details the surgical management of a young male with a typical carcinoid tumor metastasized to the hilar and subcarinal lymph nodes. <b>Case Presentation:</b> A 28-year-old medically fit male presented with cough and occasional blood-tinged sputum for 2 months that was diagnosed to be due to a typical carcinoid tumor involving the left main bronchus, with metastasis to the hilar and subcarinal lymph nodes. The patient underwent a left bronchial sleeve resection with complex reconstruction of the left lower lobe bronchus. The reconstructed bronchus was then anastomosed to the main bronchus followed by hilar and subcarinal lymph nodes dissection. The surgical approach aimed to preserve lung parenchyma while ensuring complete tumor resection. Postoperative recovery was uneventful, with the patient demonstrating satisfactory respiratory function. Histopathological examination confirmed the complete resection of the carcinoid tumor and metastatic lymph nodes (hilar and inter-lobar LN (positive 2/5) and subcarinal LN (positive 1/6)). The patient had no signs of recurrence at the 3-month follow-up. <b>Conclusions:</b> This case highlights the feasibility and effectiveness of bronchial sleeve resection with bronchial reconstruction in managing metastatic carcinoid tumors. The successful outcome underscores the importance of meticulous surgical planning and execution in achieving favorable results in complex thoracic surgeries.https://www.mdpi.com/2038-9582/14/1/3bronchial sleeve resectionbronchial reconstructionmetastatic carcinoid tumorshilar and subcarinal metastasis |
| spellingShingle | Abdelrahman Mohamed Mohamed Rahouma Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review Surgical Techniques Development bronchial sleeve resection bronchial reconstruction metastatic carcinoid tumors hilar and subcarinal metastasis |
| title | Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review |
| title_full | Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review |
| title_fullStr | Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review |
| title_full_unstemmed | Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review |
| title_short | Left Bronchial Sleeve Resection for Metastatic Typical Carcinoid: A Case Report and Literature Review |
| title_sort | left bronchial sleeve resection for metastatic typical carcinoid a case report and literature review |
| topic | bronchial sleeve resection bronchial reconstruction metastatic carcinoid tumors hilar and subcarinal metastasis |
| url | https://www.mdpi.com/2038-9582/14/1/3 |
| work_keys_str_mv | AT abdelrahmanmohamed leftbronchialsleeveresectionformetastatictypicalcarcinoidacasereportandliteraturereview AT mohamedrahouma leftbronchialsleeveresectionformetastatictypicalcarcinoidacasereportandliteraturereview |