[Severe emphysema treated by lung volume reduction surgery].

Abstract

OBJECTIVE:

To investigate criteria of screening surgical candidates and clinical effects of lung volume reduction surgery (LVRS) for severe emphysema.

METHODS:

20 patients with severe emphysema under went resection of the targeted overinflated, destructive and dysfunction pulmonary tissue by linear stapler or Endo-GIA and sternotomy approach or video-assistant thoracoscopy. 20% - 30% of the volume of each lung was resected.

RESULTS:

After operation, dyspnea evidently alleviated or disappeared. Pulmonary function: FEV(1) increased by 41.4%, RV, TLC decreased by 27.5% and 22.7% respectively. PaO(2) increased by 12.6 mm Hg. Six-minute walk test increased by 55.8%. There was significant difference above indexes between preoperation and postoperation (P < 0.01). Eight patients were complicated by a prolonged air leakage (> 7 days), and one by irritable digestive ulcer and bleeding. No death occurred during perioperation.

CONCLUSIONS:

LVRS is an effective for severe emphysema.

• Authors: J Liu, F Varoli
• Journal: Zhonghua wai ke za zhi [Chinese journal of surgery] (Zhonghua Wai Ke Za Zhi) Vol. 37 Issue 1 Pg. 32-4 (Jan 1999) ISSN: 0529-5815 [Print] China
• PMID: 11829773 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Pneumonectomy (methods)
• Pulmonary Emphysema (surgery)
• Thoracic Surgery, Video-Assisted
• Thoracotomy
• Treatment Outcome