Patient selection criteria for lung volume reduction surgery

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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 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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Lung volume reduction surgery for emphysema.

Over the past decades, extensive literature has been published regarding surgical therapies for advanced COPD. Lung-volume reduction surgery would be an option for a significantly larger number of patients than classic bullectomy or lung transplantation. Unfortunately, the initial enthusiasm has been tempered by major questions regarding the optimal surgical approach, safety, firm selection cri...

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Lung volume reduction surgery for severe emphysema.

The lung-volume reduction procedure is a palliative one, designed to relieve dyspnea, and improve the patient's ability to carry out routine activities of daily living without significant limitations. The rationale for this procedure and its development are discussed. In addition, patient selection, operative technique, postoperative care, results, and complications are considered. Ultimately, ...

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Surgical treatment for pulmonary emphysema has received renewed attention, because many studies have demonstrated improvements in dyspnea and pulmonary function. After lung volume reduction surgery (LVRS) for carefully selected advanced pulmonary emphysema, pulmonary functional impairments, such as expiratory flow limitation, increase in lung volume, decrease in lung elastic recoil, impaired ga...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1997

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(97)70010-2