| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1996;111:296-307
© 1996 Mosby, Inc.
GENERAL THORACIC SURGERY |
St. Louis, Mo.
Address for reprints: G.A. Patterson, MD. Division of Cardiothoracic Surgery, One Barnes Hospital Plaza, Suite 3108
Abstract
Background. Bilateral lung volume reduction is designed to improve pulmonary function in selected patients with severe emphysema by improving diaphragmatic and chest wall mechanics. Early results of lung volume reduction suggest significant improvement to selected patients with chronic obstructive pulmonary disease, some of whom might otherwise be considered for lung transplantation. The purpose of this review was to compare intermediate results of volume reduction with single and bilateral lung transplantation. Methods. Functional performance and survival after volume reduction were compared with single and bilateral sequential lung transplantation. After evaluation, patients were enrolled in a supervised intensive preoperative and postoperative program of pulmonary rehabilitation. Functional assessment, including pulmonary function tests, room air arterial blood gas analysis, and 6-minute walk distance, was obtained before the operation and 3, 6, and 12 months after the operation. Results. Thirty-three patients underwent volume reduction (mean age 57 years), 39 patients single lung transplantation (55 years), and 27 patients bilateral lung transplantation (49 years). Early mortality was 0, 1 of 39, and 2 of 25 and mortality at 12 months was 1 of 33, 4 of 39, and 4 of 25 in the volume reduction, single, and bilateral lung transplantation groups, respectively. At 6 months, mean forced expiratory volume in 1 second was improved by 79% (volume reduction), by 231% (single lung transplantation), and by 498% (bilateral lung transplantation) over preoperative values. Exercise endurance as measured by 6-minute walk distance increased by 28% (volume reduction), by 47% (single lung transplantation), and by 79% (bilateral lung transplantation) from baseline. At 6 months, all patients having single or bilateral lung transplantation and 26 of 33 patients having volume replacement were free of supplemental oxygen. Conclusions. Although single and bilateral lung transplantation result in superior lung function, volume reduction achieves satisfactory improvement of disabling symptoms early after operation while avoiding immunosuppression and transplant-specific complications. Our experience suggests that (1) volume reduction is a suitable alternative in selected patients eligible for transplantation; (2) volume reduction provides an earlier option for treatment in patients who may require transplantation at some future date; (3) volume reduction is the only surgical treatment available to the many patients who are not current or future transplant candidates. Conversely, in patients not suitable for volume reduction, transplantation remains the only choice for surgical therapy. (J THORAC CARDIOVASC SURG 1996;111:296-307)
This article has been cited by other articles:
|
|
 |
|
  K. M. Chan, F. J. Martinez, and A. C. Chang Nonmedical Therapy for Chronic Obstructive Pulmonary Disease Proceedings of the ATS, January 15, 2009; 6(1): 137 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 American Thoracic Society/European Respiratory Society Statement: Standards for the Diagnosis and Management of Individuals with Alpha-1 Antitrypsin Deficiency Am. J. Respir. Crit. Care Med., October 1, 2003; 168(7): 818 - 900. [Full Text] [PDF]
|
|
|
|
 |
|
 B F Meyers and G A Patterson Chronic obstructive pulmonary disease * 10: Bullectomy, lung volume reduction surgery, and transplantation for patients with chronic obstructive pulmonary disease Thorax, July 1, 2003; 58(7): 634 - 638. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Senbaklavaci, W. Wisser, C. Ozpeker, G. Marta, P. Jaksch, E. Wolner, and W. Klepetko Successful lung volume reduction surgery brings patients into better condition for later lung transplantation Eur. J. Cardiothorac. Surg., September 1, 2002; 22(3): 363 - 367. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. E.A. Burns, R. J. Keenan, W. F. Grgurich, J. D. Manzetti, and M. A. Zenati Outcomes of lung volume reduction surgery followed by lung transplantation: a matched cohort study Ann. Thorac. Surg., May 1, 2002; 73(5): 1587 - 1593. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. R. Stirling, W. J. Babidge, M. J. Peacock, J. A. Smith, K. S. Matar, G. I. Snell, D. J. Colville, and G. J. Maddern Lung volume reduction surgery in emphysema: a systematic review Ann. Thorac. Surg., August 1, 2001; 72(2): 641 - 648. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Pochettino, R. M. Kotloff, B. R. Rosengard, S. M. Arcasoy, N. P. Blumenthal, L. R. Kaiser, and J. E. Bavaria Bilateral versus single lung transplantation for chronic obstructive pulmonary disease: intermediate-term results Ann. Thorac. Surg., December 1, 2000; 70(6): 1813 - 1819. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. CHATILA, S. FURUKAWA, and G. J. CRINER Acute Respiratory Failure after Lung Volume Reduction Surgery Am. J. Respir. Crit. Care Med., October 1, 2000; 162(4): 1292 - 1296. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Dueck, S. Cooper, D. Kapelanski, H. Colt, and J. Clausen A Pilot Study of Expiratory Flow Limitation and Lung Volume Reduction Surgery* Chest, December 1, 1999; 116(6): 1762 - 1771. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Iqbal, L. Rossoff, K. Mckeon, M. Graver, and S. M. Scharf Development of a Giant Bulla After Lung Volume Reduction Surgery* Chest, December 1, 1999; 116(6): 1809 - 1811. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Zenati, R. J. Keenan, A. P. Courcoulas, and B. P. Griffith Lung volume reduction or lung transplantation for end-stage pulmonary emphysema? Eur. J. Cardiothorac. Surg., July 1, 1999; 14(1): 27 - 32. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. SHADE Jr., F. CORDOVA, Y. LANDO, J. M. TRAVALINE, S. FURUKAWA, A. M. KUZMA, and G. J. CRINER Relationship between Resting Hypercapnia and Physiologic Parameters before and after Lung Volume Reduction Surgery in Severe Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., May 1, 1999; 159(5): 1405 - 1411. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Skeletal Muscle Dysfunction in Chronic Obstructive Pulmonary Disease . A Statement of the American Thoracic Society and European Respiratory Society Am. J. Respir. Crit. Care Med., April 1, 1999; 159(4): S2 - 40. [Full Text] [PDF]
|
|
|
|
|
|
G. M. O'Brien, S. Furukawa, A. M. Kuzma, F. Cordova, and G. J. Criner Improvements in Lung Function, Exercise, and Quality of Life in Hypercapnic COPD Patients After Lung Volume Reduction Surgery Chest, January 1, 1999; 115(1): 75 - 84. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A Keller The donor lung: conservation of a precious resource Thorax, June 1, 1998; 53(6): 506 - 513. [Full Text]
|
|
|
|
|
|
G. T. FERGUSON, E. FERNANDEZ, M. R. ZAMORA, M. POMERANTZ, J. BUCHHOLZ, and B. J. MAKE Improved Exercise Performance Following Lung Volume Reduction Surgery for Emphysema Am. J. Respir. Crit. Care Med., April 1, 1998; 157(4): 1195 - 1203. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Thurnheer, R. Bingisser, U. Stammberger, J. Muntwyler, A. Zollinger, K. E. Bloch, W. Weder, and E. W. Russi Effect of lung volume reduction surgery on pulmonary hemodynamics in severe pulmonary emphysema Eur. J. Cardiothorac. Surg., March 1, 1998; 13(3): 253 - 258. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. R. DeMeester, G. A. Patterson, R. S. Sundaresan, and J. D. Cooper Lobectomy Combined With Volume Reduction For Patients With Lung Cancer And Advanced Emphysema J. Thorac. Cardiovasc. Surg., March 1, 1998; 115(3): 681 - 685. [Abstract] [Full Text]
|
|
|
|
|
|
H. E. FESSLER and S. PERMUTT Lung Volume Reduction Surgery and Airflow Limitation Am. J. Respir. Crit. Care Med., March 1, 1998; 157(3): 715 - 722. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. KELLER, G. RUPPEL, A. HIBBETT, J. OSTERLOH, and K. S. NAUNHEIM Thoracoscopic Lung Volume Reduction Surgery Reduces Dyspnea and Improves Exercise Capacity in Patients with Emphysema Am. J. Respir. Crit. Care Med., July 1, 1997; 156(1): 60 - 67. [Abstract] [Full Text]
|
|
|
|
|
|
J. O. BENDITT, S. LEWIS, D. E. WOOD, L. KLIMA, and R. K. ALBERT Lung Volume Reduction Surgery Improves Maximal O2 Consumption, Maximal Minute Ventilation, O2 Pulse, and Dead Space-to-Tidal Volume Ratio during Leg Cycle Ergometry Am. J. Respir. Crit. Care Med., July 1, 1997; 156(2): 561 - 566. [Abstract] [Full Text]
|
|
|
|
|
|
G. CRINER, F. C. CORDOVA, V. LEYENSON, B. ROY, J. TRAVALINE, S. SUDARSHAN, G. O'BRIEN, A. M. KUZMA, and S. FURUKAWA Effect of Lung Volume Reduction Surgery on Diaphragm Strength Am. J. Respir. Crit. Care Med., May 1, 1997; 157(5): 1578 - 1585. [Abstract] [Full Text]
|
|
|
|
|
|
M. Bousamra II, G. B. Haasler, R. J. Lipchik, D. Henry, J. H. Chammas, C. K. Rokkas, K. Menard-Rothe, D. C. Sobush, and G. N. Olinger FUNCTIONAL AND OXIMETRIC ASSESSMENT OF PATIENTS AFTER LUNG REDUCTION SURGERY J. Thorac. Cardiovasc. Surg., April 1, 1997; 113(4): 675 - 682. [Abstract] [Full Text]
|
|
|
|
|
|
W. Wisser, E. Tschernko, O. Senbaklavaci, M. Kontrus, T. Wanke, E. Wolner, and W. Klepetko Functional Improvement After Volume Reduction: Sternotomy Versus Videoendoscopic Approach Ann. Thorac. Surg., March 1, 1997; 63(3): 822 - 827. [Abstract] [Full Text]
|
|
|
|
|
|
J. E. Bavaria, R. Kotloff, H. Palevsky, B. Rosengard, J. R. Roberts, P. M. Wahl, N. Blumenthal, C. Archer, and L. R. Kaiser BILATERAL VERSUS SINGLE LUNG TRANSPLANTATION FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 520 - 528. [Abstract] [Full Text]
|
|
|
|
|
|
K. S. Naunheim and M. K. Ferguson The Current Status of Lung Volume Reduction Operations for Emphysema Ann. Thorac. Surg., August 1, 1996; 62(2): 601 - 612. [Abstract] [Full Text]
|
|
|
|
 |
|
 D. R. Dantzker and S. M. Scharf Surgery to Reduce Lung Volume N. Engl. J. Med., April 25, 1996; 334(17): 1128 - 1128. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
