<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
      <JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
      <Volume-Issue>Vol. VII, n 3</Volume-Issue>
      <Season>February 2021</Season>
      <ArticleType>JMSR Surgery</ArticleType>
      <ArticleTitle>The Place of Sleeve Lobectomy in the Surgery of Bronchial Carcinoid Tumors: -Experience of a Moroccan Unit-</ArticleTitle>
          <FirstName>L. Belliraj1 ; FZ.</FirstName>
      <Abstract>Introduction: Carcinoid bronchial tumors are the best indications for sleeve lobectomy which was initially indicated in patients who cannot tolerate pneumectomy before it has been considered as the intervention of choice. Through five clinical cases of bronchial carcinoid tumors having all benefited from a sleeve lobectomy, we will focus on the technical aspects of this surgical procedure as well as on its results with a review of the literature. Patients and Methods: This is a retrospective study over a nine year period collecting 5 cases of operated central bronchial carcinoid tumors in patients who undergone a sleeve lobectomy. We analyzed the clinical and para- clinical parameters as well as the operating technique used and the surgical results. Results: All patients were female. The major complaining symptom was low abundance hemoptysis in 4 patients (80%) and chest pain in one patient (20%). All included patients benefited from a chest X-ray with thoracic CT scan. Sleeve lobectomy was indicated and the post- operative outcome was simple in all patients. Conclusion: Our study, consistent with the literature data, demonstrated that recent advances in patient selection criteria and in surgical techniques have enabled sleeve-lobectomy to evolve becoming the first line intervention for lesions located in the center and for all histological grades.</Abstract>
      <Keywords>Bronchial carcinoid tumor, Lobectomy, Morocco, Sleeve</Keywords>
        <Abstract>https://journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=9054&amp;title=The Place of Sleeve Lobectomy in the Surgery of Bronchial Carcinoid Tumors: -Experience of a Moroccan Unit-</Abstract>
        <References>Ferguson MK, Lehman AG. Sleeve lobectomy or pneumonectomy: optimal management strategy using decision analysis techniques. Ann ThoracSurg2003; 76: 1782–1788.&#13;
	Fadel E, Yildizeli B, Chapelier AR, et al. Sleeve lobectomy for bronchogenic cancers: factors affecting survival. Ann Thorac Surg 2002; 74: 851–859.&#13;
	Van Schil PE, De la Rivie`re AB, Knaepen PJ, et al. Long-term survival after bronchial sleeve resection: univariate and multivariate analysis. Ann Thorac Surg1996; 61: 1087–1091.&#13;
	Icard P, Regnard JF, Guibert L, et al. Survival and prognostic factors in patients undergoing parenchymal saving bronchoplastic operation for primary lung cancer: a series of 110 consecutive cases. Eur J CardiothoracSurg1999; 15: 426–432.&#13;
	Suen HC, Meyers BF, Guthrie T, et al. Favorable results after sleeve lobectomy or bronchoplasty for bronchial malignancies. Ann ThoracSurg1999; 67: 1557–1562.&#13;
	Firmin RK, Azariades M, Lennox SC, Lincoln JCR, Paneth M. Sleeve lobectomy (lobectomy and bronchoplasty) for bronchial carcinoma. Ann Thorac Surg 1983; 35: 442-9.&#13;
	Mehran RJ, Deslauriers J, Piraux M et al. Survival related to nodal status after sleeve resection for lung cancer. J Thorac Cardiovasc Surg 1994; 107: 576-83.&#13;
	Okada M, Yamagishi H, Satake S, et al. Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. J Thorac Cardiovasc Surg 2000; 119: 814–819.&#13;
	Mezzetti M, Panigalli T, Giuliani L, et al: Personal experience in lung cancersleeve lobectomy and sleeve pneumonectomy. Ann Thorac Surg 73:1736-1739, 2002&#13;
	Deslauriers J, Gregoire J, Jacques L, et al: Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and site of recurrence. Ann Thorac Surg 77:1152-1156, 2004.&#13;
	Kim YT, Kang CH, Sung SW, et al: Local control of disease related to lymph node involvement in non-small cell lung cancer after sleeve lobectomy compared with pneumonectomy. Ann Thorac Surg 79: 1153-1161, 2005&#13;
	Berge T, Linell F. Carcinoid tumours: frequency in a defined population during a 12-years period. Acta Pathol Microbiol Scand 1976; 84: 322-30.&#13;
	Chughtai TS, Morin JE, Sheiner NM, Wilson JA, Mulder DS. Bronchial carcinoid - twenty yearsand;#39; experience defines a selective approach. Surgery 1997; 122, 801-8.&#13;
	Grote TH, Macon WR, Davis B, Greco FA, Johonson DH. Atypical carcinoid of the lung: a distinct clinicopathologic entity. Chest 1988; 93:370-75.&#13;
	EI-Naggar AK, Ballance W, Karim FW, et al. Typical and atypical Broncho pulmonary carcinoids. A clinicopathologic and flow cytometric study. Am J ClinPathol1 991; 95:828- 34.&#13;
	Okike N, Bernatz PE, Woolner LB. Carcinoid tumors of the lung. Ann Thorac Surg 1976; 22: 270-7.&#13;
	Fink G, Krelbaum T, Yellin A, Bendayan D, Saute M, Glazer M, et al. Pulmonary carcinoid presentation, diagnosis, and outcome in 142 cases in Israel and review of 640 cases from the literature. Chest 2001; 119: 1647—51.&#13;
	Kyriss T, Maier S, Veit S, Fritz P, Toomes H, Friedel G. Carcinoid lung tumors: long-term results from 111 resections. GMS Thorac Surg Sci.2006; 3: Doc 03.&#13;
	Bueno et al. Bronchoplasty in the Management of Low-Grade Airway Neoplasms and Benign Bronchial Stenoses. Ann Thorac Surg 1996; 62: 824 –9.&#13;
	Cemal Aslm Kutlu, Peter Gold straw, J Thorac Cardiovasc Surg1999; 117: 1112 –7.&#13;
	Suen HC, Meyers BF, Guthrie T, et al. Favorable results after sleeve lobectomy or bronchoplasty for bronchial malignancies. Ann Thorac Surg 1999; 67: 1557–1562.&#13;
	Gaissert HA, Mathisen DJ, Moncure AC, et al. Survival and function after sleeve lobectomy for lung cancer. J Thorac Cardiovasc Surg1996; 11: 948 –953.</References>