Lung volume reduction surgery or bronchoscopic lung volume reduction: is there an algorithm for allocation?

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Bronchoscopic lung volume reduction

Surgical lung volume reduction can improve exercise performance and forced expiratory volume in one second in patients with emphysema. However, the procedure is associated with a 5% mortality rate and a nonresponse rate of ,25%. Accordingly, interest has focused on alternative ways of reducing lung volume. Two principle approaches are used: collapse of the diseased area using blockers placed en...

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Bronchoscopic Lung Volume Reduction

The application of lung volume reduction surgery in clinical practice is limited by high postoperative morbidity and stringent selection criteria. This has been the impetus for the development of bronchoscopic approaches to lung volume reduction. A range of different techniques such as endobronchial blockers, airway bypass, endobronchial valves, thermal vapor ablation, biological sealants, and ...

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Lung volume reduction surgery.

Background. Surgery to reduce lung volume has recently been reintroduced to alleviate dyspnea and improve exercise tolerance in selected patients with emphysema. A reliable means of identifying patients who are likely to benefit from this surgery is needed. Methods. We measured lung resistance during inspiration, static recoil pressure at total lung capacity, static lung compliance, expiratory ...

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Lung volume reduction surgery: an overview.

Lung volume reduction surgery, originally used in the 1950s, has reemerged as a technique that may help some individuals with end-stage emphysema breathe more easily. The goal of the surgery is to enhance elastic recoil of the lung and to restore diaphragmatic function. The surgery is still in the experimental stages, but early outcome data are encouraging. The purpose of this study was to disc...

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[Lung volume reduction surgery for diffuse emphysema].

BACKGROUND Lung volume reduction surgery (LVRS) performed to treat patients with severe diffuse emphysema was reintroduced in the nineties. Lung volume reduction surgery aims to resect damaged emphysematous lung tissue, thereby increasing elastic properties of the lung. This treatment is hypothesised to improve long-term daily functioning and quality of life, although it may be costly and may b...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2018

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2018.05.118