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J Thorac Cardiovasc Surg 2004;127:1212-1214
© 2004 The American Association for Thoracic Surgery

Brief communication

Completion lobectomy after bilateral lung volume reduction for emphysema: Salvage option or fancy?

^a Thoracic Surger and the Multidisciplinary Pulmonary Program, Policlinico University Tor Vergata, Rome, Italy

Received for publication August 1, 2003; revisions received October 2, 2003; revisions received November 3, 2003; accepted for publication December 3, 2003.

^* Address for reprints: Tommaso C. Mineo, MD, Cattedra di Chirurgia Toracica, Università Tor Vergata, Policlinico Tor Vergata, V.le Oxford 81 00133 Rome, Italy
mineo@med.uniroma2.it

The first 20% of the full text of this article appears below.

Ambrogi, Bollero, Pompeo, TC Mineo, Rogliani, D Mineo

Bilateral lung volume reduction (LVR) can significantly improve the functional capacity of selected patients with severe emphysema and an upper-lobe predominance of disease.^1,2 However, because of its palliative nature, postoperative improvements usually peak within the first 6 months and slowly decline subsequently, eventually returning back to the baseline status in most patients. Little is known, however, as to whether redo LVR³ can be reasonably proposed in selected patients after bilateral LVR.

Herein we describe 4 patients with upper-lobe prevailing emphysema who underwent completion lobectomy (CL) as a redo LVR after a previous bilateral operation. The patients, all men, were operated on between September 2001 and October 2002. All patients gave their written, informed consent. The mean interval between bilateral LVR and CL was 59 months. After the bilateral operation, marked improvements occurred in pulmonary function measures: +360 mL in forced expiratory volume in 1 second (FEV₁), –1170 mL in residual volume, +125 m in . . . [Full Text of this Article]

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				T. C. Mineo, E. Pompeo, H. B. Ris, W. Weder, P. Evrard, G. Massard, and N. Konietzko Surgery for emphysema: surgical aspects Surgery for Non-Neoplastic Disorders of the Chest: a Clinical Update, June 28, 2010; 113 - 128. [Abstract] [Fulltext] [PDF]

				F. Tacconi, E. Pompeo, D. Forcella, M. Marino, D. Varvaras, and T. C. Mineo Lung Volume Reduction Reoperations Ann. Thorac. Surg., April 1, 2008; 85(4): 1171 - 1177. [Abstract] [Full Text] [PDF]