| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1996;112:1331-1339
© 1996 Mosby, Inc.
GENERAL THORACIC SURGERY |
Supported in part by DOE grant DE-f603-91 ER61227 NIH grant R01192 and the Heart and Lung Surgery Foundation.
Received for publication March 11, 1996 Revisions requested May 29, 1996; revisions received July 11, 1996 Accepted for publication July 15, 1996. Address for reprints: Robert J. McKenna, Jr., MD, 1245 Wilshire Blvd., Suite 606, Los Angeles, CA 90017.
Abstract
Both unilateral and bilateral lung volume reduction procedures are being advocated for treatment of severe, generalized emphysema. We analyzed the results of 166 consecutive patients who underwent unilateral (n= 87) or bilateral (n= 79) thoracoscopic stapled lung volume reductions to help define the role for these procedures. There was no statistically significant difference in the operative mortality (3.5% vs 2.5%), mean length of stay (11.4 ± 1 vs 10.9 ± 1 days), or morbidity for the unilateral and bilateral groups, respectively (pnot significant for all variables). Oxygen dependence was eliminated in 18 (36%) of 50 patients who had unilateral procedures and 30 (68%) of 44 of those who had bilateral procedures (p< 0.01). Prednisone was eliminated for 38 (54%) of 51 unilateral-procedure patients, compared with 30 (85%) of 35 bilateral-procedure patients (p= 0.02). Overall, bilateral procedures produced a mean improvement in the forced expiratory volume in 1 second (FEV1) of 57%, compared with 31% for unilateral reduction procedures (p< 0.01). Our bilateral staple procedure produced a 72.8% mean increase in the FEV1for patients who had upper lobe emphysema. Especially compromised patients (age 
75, with preoperative room air Po2
50 mm Hg or FEV1500 ml) had the same morbidity and operative mortality with unilateral or bilateral procedures, but they had a higher 1-year mortality (17% vs 5%), primarily because of respiratory failure after the unilateral operation (p< .001). Although unilateral staple lung volume reduction may produce an excellent result in a given patient, the bilateral procedure appears to be the procedure of choice, because it provides better overall results at no increased morbidity or mortality compared with the unilateral procedure. The results of bilateral staple lung volume reduction by thoracoscopy appear to be comparable to those of median sternotomy. (J THORACCARDIOVASCSURG1996;112:1331-9)
This article has been cited by other articles:
|
|
 |
|
  B. F. Meyers, P. K. Sultan, T. J. Guthrie, S. S. Lefrak, G. E. Davis, G. A. Patterson, J. D. Cooper, and R. D. Yusen Outcomes after unilateral lung volume reduction. Ann. Thorac. Surg., July 1, 2008; 86(1): 204 - 212. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. DeCamp Jr., R. J. McKenna Jr., C. C. Deschamps, and M. J. Krasna Lung Volume Reduction Surgery: Technique, Operative Mortality, and Morbidity Proceedings of the ATS, May 1, 2008; 5(4): 442 - 446. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. J. Criner, A. L. Sternberg, and for the National Emphysema Treatment Trial Researc A Clinician's Guide to the Use of Lung Volume Reduction Surgery Proceedings of the ATS, May 1, 2008; 5(4): 461 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. C. Mineo, E. Pompeo, D. Mineo, P. Rogliani, C. Leonardis, and I. Nofroni Results of unilateral lung volume reduction surgery in patients with distinct heterogeneity of emphysema between lungs J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 73 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Iwasaki, Y. Yoshinaga, and T. Shirakusa Successful Removal of Bovine Pericardium by Bronchoscope After Lung Volume Reduction Surgery Ann. Thorac. Surg., December 1, 2004; 78(6): 2156 - 2157. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. D. Nathan, L. B. Edwards, S. D. Barnett, S. Ahmad, and N. A. Burton Outcomes of COPD Lung Transplant Recipients After Lung Volume Reduction Surgery Chest, November 1, 2004; 126(5): 1569 - 1574. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Brenner, N. M. Hanna, R. Mina-Araghi, A. F. Gelb, R. J. McKenna Jr, and H. Colt Innovative Approaches to Lung Volume Reduction for Emphysema Chest, July 1, 2004; 126(1): 238 - 248. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Safety and efficacy of median sternotomy versus video-assisted thoracic surgery for lung volume reduction surgery J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1350 - 1360. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. F. Meyers, R. D. Yusen, T. J. Guthrie, G. A. Patterson, S. S. Lefrak, G. E. Davis, and J. D. Cooper Results of lung volume reduction surgery in patients meeting a National Emphysema Treatment Trial high-risk criterion J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 829 - 835. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Klena, A. F. Saari, D. O. Peterson, C. Collins, and J. A. Johnson Combined video-assisted thoracoscopic lung volume reduction surgery and lobectomy in a high-risk patient Ann. Thorac. Surg., December 1, 2003; 76(6): 2079 - 2080. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Decramer Treatment of chronic respiratory failure: lung volume reduction surgery versus rehabilitation Eur. Respir. J., November 16, 2003; 22(47_suppl): 47s - 56s. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S.Y. Soon, G. Saidi, M.L.H. Ong, A. Syed, M. Codispoti, and W.S. Walker Sequential VATS lung volume reduction surgery: prolongation of benefits derived after the initial operation Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 149 - 153. [Abstract] [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]
|
|
|
|
|
|
A. M. Ciccone, B. F. Meyers, T. J. Guthrie, G. E. Davis, R. D. Yusen, S. S. Lefrak, G. A. Patterson, and J. D. Cooper Long-term outcome of bilateral lung volume reduction in 250 consecutive patients with emphysema J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 513 - 525. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I.F. Oey, D.A. Waller, S. Bal, S.J. Singh, T.J. Spyt, and M.D.L. Morgan Lung volume reduction surgery - a comparison of the long term outcome of unilateral vs. bilateral approaches Eur. J. Cardiothorac. Surg., October 1, 2002; 22(4): 610 - 614. [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]
|
|
|
|
|
|
E. Marchand, P. De Leyn, G. Gayan-Ramirez, F. Palecek, E. Verbeken, and M. Decramer Effects of lung volume reduction surgery in hamsters with elastase-induced emphysema Eur. Respir. J., March 1, 2002; 19(3): 422 - 428. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Fujimoto, H. Teschler, L. Hillejan, G. Zaboura, and G. Stamatis Long-term results of lung volume reduction surgery Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 483 - 488. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Geiser, B. Schwizer, T. Krueger, M. Gugger, V. I. Hof, M. Dusmet, J.-W. Fitting, and H.-B. Ris Outcome after unilateral lung volume reduction surgery in patients with severe emphysema Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 674 - 678. [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]
|
|
|
|
|
|
R. L. Berger, B. R. Celli, A. L. Meneghetti, P. H. Bagley, C. D. Wright, E. P. Ingenito, A. Gray, and G. L. Snider Limitations of randomized clinical trials for evaluating emerging operations: the case of lung volume reduction surgery Ann. Thorac. Surg., August 1, 2001; 72(2): 649 - 657. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. W. Herget, M. Kassa, U. N. Riede, Y. Lu, L. Brethner, and J. Hasse Experimental use of an albumin-glutaraldehyde tissue adhesive for sealing pulmonary parenchyma and bronchial anastomoses Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 4 - 9. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. S. Naunheim, S. R. Hazelrigg, L. R. Kaiser, R. J. Keenan, J. E. Bavaria, R. J. Landreneau, J. Osterloh, and C. A. Keller Risk analysis for thoracoscopic lung volume reduction: a multi-institutional experience Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 673 - 679. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Pompeo, G. Sergiacomi, I. Nofroni, W. Roscetti, G. Simonetti, and T. C. Mineo Morphologic grading of emphysema is useful in the selection of candidates for unilateral or bilateral reduction pneumoplasty Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 680 - 686. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. A. Lowdermilk, R. J. Keenan, R. J. Landreneau, S. R. Hazelrigg, J. E. Bavaria, L. R. Kaiser, C. A. Keller, and K. S. Naunheim Comparison of clinical results for unilateral and bilateral thoracoscopic lung volume reduction Ann. Thorac. Surg., June 1, 2000; 69(6): 1670 - 1674. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. A. de Castro Current Controversies in Surgical Therapy for Emphysema Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2000; 4(1): 26 - 30. [Abstract] [PDF]
|
|
|
|
|
|
M. Brenner, R. J. McKenna Jr, J. C. Chen, D. L. Serna, L. L. Powell, A. F. Gelb, R. J. Fischel, and A. F. Wilson Relationship between amount of lung resected and outcome after lung volume reduction surgery Ann. Thorac. Surg., February 1, 2000; 69(2): 388 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. S. Naunheim, L. R. Kaiser, J. E. Bavaria, S. R. Hazelrigg, M. J. Magee, R. J. Landreneau, R. J. Keenan, J. F. Osterloh, T. M. Boley, and C. A. Keller Long-term survival after thoracoscopic lung volume reduction: a multiinstitutional review Ann. Thorac. Surg., December 1, 1999; 68(6): 2026 - 2031. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Serna, M. Brenner, K. E. Osann, R. J. McKenna Jr, J. C. Chen, R. J. Fischel, B. U. Jones, A. F. Gelb, and A. F. Wilson SURVIVAL AFTER UNILATERAL VERSUS BILATERAL LUNG VOLUME REDUCTION SURGERY FOR EMPHYSEMA J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1101 - 1109. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. N. E. T. T. R. Group Rationale and Design of the National Emphysema Treatment Trial : A Prospective Randomized Trial of Lung Volume Reduction Surgery Chest, December 1, 1999; 116(6): 1750 - 1761. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. D. Miller Emphysema sufferers breathe easier Can. Med. Assoc. J., November 1, 1999; 161(9): 1140 - 1140. [Full Text] [PDF]
|
|
|
|
|
|
RATIONALE AND DESIGN OF THE NATIONAL EMPHYSEMA TREATMENT TRIAL (NETT): A PROSPECTIVE RANDOMIZED TRIAL OF LUNG VOLUME REDUCTION SURGERY J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 518 - 528. [Full Text] [PDF]
|
|
|
|
|
|
E. Bossone, F. J. Martinez, R. I. Whyte, M. D. Iannettoni, W. F. Armstrong, and D. S. Bach DOBUTAMINE STRESS ECHOCARDIOGRAPHY FOR THE PREOPERATIVE EVALUATION OF PATIENTS UNDERGOING LUNG VOLUME REDUCTION SURGERY J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 542 - 546. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Young, A. Fry-Smith, and C. Hyde Lung volume reduction surgery (LVRS) for chronic obstructive pulmonary disease (COPD) with underlying severe emphysema Thorax, September 1, 1999; 54(9): 779 - 789. [Abstract] [Full Text]
|
|
|
|
|
|
S. R Hazelrigg, T. M Boley, A. Grasch, and T. Shawgo Surgical strategy for lung volume reduction surgery Eur. J. Cardiothorac. Surg., September 1, 1999; 16(suppl_1): S57 - S60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Wisser, W. Klepetko, O. Senbaklavaci, T. Wanke, E. Gruber, E. Tschernko, and E. Wolner Chronic hypercapnia should not exclude patients from lung volume reduction surgery Eur. J. Cardiothorac. Surg., August 1, 1999; 14(2): 107 - 112. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. C. Mineo, E. Pompeo, G. Simonetti, A. F. Sabato, F. Turani, P. Rogliani, F. De Padova, and I. Nofroni Unilateral thoracoscopic reduction pneumoplasty for asymmetric emphysema Eur. J. Cardiothorac. Surg., July 1, 1999; 14(1): 33 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Schmid, U. Stammberger, S. Hillinger, P. R. Vogt, F. W. Amman, E. W. Russi, and W. Weder Lung volume reduction surgery combined with cardiac interventions Eur. J. Cardiothorac. Surg., May 1, 1999; 15(5): 585 - 591. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. E. FESSLER and R. A. WISE Lung Volume Reduction Surgery . Is Less Really More? Am. J. Respir. Crit. Care Med., April 1, 1999; 159(4): 1031 - 1035. [Full Text] [PDF]
|
|
|
|
|
|
J. R. Roberts, J. E. Bavaria, P. Wahl, A. Wurster, J. S. Friedberg, and L. R. Kaiser Comparison of open and thoracoscopic bilateral volume reduction surgery: complications analysis Ann. Thorac. Surg., November 1, 1998; 66(5): 1759 - 1765. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. R. Hazelrigg, T. M. Boley, M. J. Magee, C. H. Lawyer, and J. Q. Henkle Comparison of staged thoracoscopy and median sternotomy for lung volume reduction Ann. Thorac. Surg., October 1, 1998; 66(4): 1134 - 1139. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. I. Whyte, W. Bria, F. J. Martinez, P. Lewis, and S. F. Bolling Combined lung volume reduction and mitral valve reconstruction Ann. Thorac. Surg., October 1, 1998; 66(4): 1414 - 1416. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. F. Meyers, R. D. Yusen, S. S. Lefrak, G. A. Patterson, M. S. Pohl, V. J. Richardson, and J. D. Cooper Outcome of Medicare patients with emphysema selected for, but denied, a lung volume reduction operation Ann. Thorac. Surg., August 1, 1998; 66(2): 331 - 336. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Wisser, W. Klepetko, M. Kontrus, A. Bankier, O. Senbaklavaci, A. Kaider, T. Wanke, E. Tschernko, and E. Wolner Morphologic Grading of the Emphysematous Lung and Its Relation to Improvement After Lung Volume Reduction Surgery Ann. Thorac. Surg., March 1, 1998; 65(3): 793 - 799. [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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
J. Huh, M. Brenner, J. C. Chen, B. Yoong, A. Gassel, F. Katie, J. C. Milliken, R. McKenna, Jr., R. J. Fischel, A. Gelb, et al. Changes In Pulmonary Physiology After Lung Volume Reduction Surgery In A Rabbit Model Of Emphysema J. Thorac. Cardiovasc. Surg., February 1, 1998; 115(2): 328 - 335. [Abstract] [Full Text]
|
|
|
|
|
|
J. E. Bavaria, A. Pochettino, R. M. Kotloff, B. R. Rosengard, P. M. Wahl, Roberts, H. I. Palevsky, and L. R. Kaiser Effect of volume reduction on lung transplant timing and selection for chronic obstructive pulmonary disease J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 9 - 13. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Fischel and R. J. McKenna Jr Bovine Pericardium Versus Bovine Collagen to Buttress Staples for Lung Reduction Operations Ann. Thorac. Surg., January 1, 1998; 65(1): 217 - 219. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. McKenna Jr., M. Brenner, R. J. Fischel, N. Singh, B. Yoong, A. F. Gelb, and K. E. Osann PATIENT SELECTION CRITERIA FOR LUNG VOLUME REDUCTION SURGERY J. Thorac. Cardiovasc. Surg., December 1, 1997; 114(6): 957 - 967. [Abstract] [Full Text]
|
|
|
|
|
|
W. T. Vigneswaran and F. J. Podbielski Single-Stage Bilateral, Video-Assisted Thoracoscopic Lung Volume Reduction Operation Ann. Thorac. Surg., June 1, 1997; 63(6): 1807 - 1809. [Abstract] [Full Text]
|
|
|
|
|
|
M. D. BECKER, Y. M. BERKMEN, J. H. M. AUSTIN, I. K. MUN, B. M. ROMNEY, A. ROZENSHTEIN, P. A. JELLEN, C. K. YIP, B. THOMASHOW, and M. E. GINSBURG Lung Volumes before and after Lung Volume Reduction Surgery . Quantitative CT Analysis Am. J. Respir. Crit. Care Med., May 1, 1997; 157(5): 1593 - 1599. [Abstract] [Full Text]
|
|
|
|
|
|
R. J. McKenna Jr Ann. Thorac. Surg., March 1, 1997; 63(3): 827 - 828. [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 |
