TY - JOUR
T1 - Recent advances in surgery for emphysema
AU - Lefrak, Stephen S.
AU - Yusen, Roger D.
AU - Trulock, Elbert P.
AU - Pohl, Mary S.
AU - Patterson, Alexander
AU - Cooper, Joel D.
PY - 1997/3/13
Y1 - 1997/3/13
N2 - Volume reduction surgery is based on the removal of volume-occupying but nonfunctioning emphysematous lung, which is thought to improve pulmonary elastic recoil. The reduction in thoracic volume may also improve thoracic cage and inspiratory muscle function. In addition, dyspnea is lessened, exercise tolerance is increased, and measured pulmonary function is improved. Alveolar gas exchange may also be improved. Selection criteria include marked airway obstruction secondary to emphysema, marked hyperinflation of the chest wall, and regional heterogeneity in the distribution of the emphysema. The best results are obtained with a bilateral procedure utilizing stapling resection. The two surgical approaches are median sternotomy and video-assisted thoracic surgery.
AB - Volume reduction surgery is based on the removal of volume-occupying but nonfunctioning emphysematous lung, which is thought to improve pulmonary elastic recoil. The reduction in thoracic volume may also improve thoracic cage and inspiratory muscle function. In addition, dyspnea is lessened, exercise tolerance is increased, and measured pulmonary function is improved. Alveolar gas exchange may also be improved. Selection criteria include marked airway obstruction secondary to emphysema, marked hyperinflation of the chest wall, and regional heterogeneity in the distribution of the emphysema. The best results are obtained with a bilateral procedure utilizing stapling resection. The two surgical approaches are median sternotomy and video-assisted thoracic surgery.
KW - Median sternotomy
KW - Stapling resection
KW - Video-assisted thoracic surgery
KW - Volume reduction surgery
UR - http://www.scopus.com/inward/record.url?scp=0031054739&partnerID=8YFLogxK
U2 - 10.1146/annurev.med.48.1.387
DO - 10.1146/annurev.med.48.1.387
M3 - Review article
C2 - 9046970
AN - SCOPUS:0031054739
SN - 0066-4219
VL - 48
SP - 387
EP - 398
JO - Annual Review of Medicine
JF - Annual Review of Medicine
ER -