Lung volume reduction surgery for severe emphysema.
نویسندگان
چکیده
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, the value of lung-volume reduction surgery will be determined by the balance between the magnitude and duration of benefit achieved on the one hand versus the morbidity and mortality produced on the other.
منابع مشابه
Asymptomatic expectoration of surgical staples complicating lung volume reduction surgery.
Lung volume reduction surgery (LVRS) has recently been introduced as a palliative treatment for patients with severe emphysema. The most common postoperative complication is persistent air leak requiring prolonged tube thoracostomy. We describe a unique case of a patient with severe emphysema who underwent LVRS and presented, about a year later, with the repeated expectoration of surgical staples.
متن کاملHistopathologic diagnosis made in lung tissue resected from patients with severe emphysema undergoing lung volume reduction surgery.
STUDY OBJECTIVES This study reports histopathologic findings in a group of emphysema patients who underwent thoracoscopic lung volume reduction surgery (75) or sternotomy (five) with the purpose to induce functional improvement and relief of dyspnea. Immediate outcome and complications were correlated to histologic patterns. DESIGN Histopathologic material obtained in lung volume reduction su...
متن کاملA randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema.
BACKGROUND Lung-volume-reduction surgery has been proposed as a palliative treatment for severe emphysema. Effects on mortality, the magnitude and durability of benefits, and criteria for the selection of patients have not been established. METHODS A total of 1218 patients with severe emphysema underwent pulmonary rehabilitation and were randomly assigned to undergo lung-volume-reduction surg...
متن کاملDensitometry for assessment of effect of lung volume reduction surgery for emphysema.
To explore if change in the extent of emphysema correlated with change in lung function, the effect of resection of emphysematous tissue was studied by computed tomography (CT) densitometry. In addition, the current authors studied how surgery-induced change in emphysema related to lung density in control subjects. In total, 30 patients (14 females; mean+/-sd age 59+/-10 yrs) with severe emphys...
متن کاملFunctional and morphological heterogeneity of emphysema and its implication for selection of patients for lung volume reduction surgery.
Lung volume reduction surgery (LVRS) in patients with advanced pulmonary emphysema aims to alleviate symptoms and enhance quality of life by improving respiratory mechanics. The theoretical concepts of the operation predict the greatest functional benefit in patients with marked hyperinflation, and with airflow obstruction due to loss of elastic recoil. Consistent observations in several centre...
متن کاملShort- and long-term functional results after lung volume reduction surgery for severe emphysema.
Lung volume reduction surgery (LVRS) has emerged as a surgical therapeutic intervention for advanced emphysema. Designed for the relief of dyspnoea, LVRS has been demonstrated to be efficacious in a subset of carefully selected patients. Short-term improvements in dyspnoea are accompanied by improvements in forced expiratory volume in one second ranging 13-96%. Lung volumes likewise improve, wi...
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عنوان ژورنال:
- TEC bulletin
دوره 20 3 شماره
صفحات -
تاریخ انتشار 1995