Lung Volume Reduction Surgery in Patients with Severe Emphysema , 7 cases.
- Author:
Woong CHIN
1
;
Sun Hi LEE
;
Si Hoon KIM
;
Young Pil WANG
;
Kyu Do CHO
;
Jae Gil PARK
;
Moon Sub KWAK
;
Se Wha KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Cathalic university Medical College. humerus@cmc.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
Lung Volume Reduction;
Emphysema
- MeSH:
Brain;
Carcinoma, Squamous Cell;
Emphysema*;
Follow-Up Studies;
Hope;
Humans;
Lung Neoplasms;
Lung Transplantation;
Lung*;
Mortality;
Neoplasm Metastasis;
Patient Selection;
Pneumonectomy*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(6):543-548
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: These days, lung volume reduction surgery (LVRS) is used as an alternative or a bridge operation to lung transplantation in treating patients with severe emphysema. The procedure can be used in patients with pulmonary nodules combined with severe emphysema. We report the results of 21 months follow up after lung volume reduction surgery in 7 cases including 2 cases of concurrent resection of pulmonary nodules. MATERIAL AND METHOD: Seven patients with emphysema, including 2 cases of preoperatively suspected lung cancer were operated with LVRS technique between July 1996 and June 1997. RESULT: Postoperative mortality was observed in a case of squamous cell carcinoma in LUL with brain metastasis, detected at postoperative 13months. Average of 21months(19-25months) follow up was done for other cases without specific events. CONCLUSION: LVRS is a useful operation in the treatment of patients with severe emphysema, but further evaluation should be done about the long term results and precise criteria for patient selection. Simultaneous LVRS and tumor resection could be done in patients with emphysema with marginal reserve in the hope of maximizing postoperative lung functions.
