Removal of multifocal neuroendocrine lung tumours with a LIMAX® 120 Nd:YAG laser: case report

Method A transbronchial biopsy was not able to clarify the cause of the foci. Two of the lung foci were removed by nonanatomical resection using video thoracoscopy. Histological examination of the material surprisingly revealed two typical carcinoid tumours (Ki67 index < 1%). As all the remaining foci were considered to be resectable the interdisciplinary tumour board recommended resection of all lesions. We performed open bilateral resection on a total of 14 foci (six in the right lung and eight in the left). Each of the lung foci was removed non-anatomically in sane with the LIMAX 120 (Gebrüder Martin & CoKG, Tuttlingen, Germany) diode-pumped Nd:YAG laser. Radical mediastinal lymphadenectomy was also carried out bilaterally. None of the X removed lymph nodes showed metastatic foci. The operations were carried out 4 weeks apart. Postoperative complications did not occur. Results Three years later, imaging revealed neither local recurrence nor new lung foci.