Article: New and emerging minimally invasive techniques for lung volume reduction.
2004 Volume 125, Issue 2, Page(s) 777–783
Abstract: ... emerging to achieve lung volume reduction without open thoracotomy. Devices and techniques under study ... a major surgical procedure with potential morbidity and mortality. Minimally invasive techniques are ... Lung volume reduction surgery (LVRS) has been shown to improve pulmonary function, exercise ...
| Abstract | Lung volume reduction surgery (LVRS) has been shown to improve pulmonary function, exercise capacity, quality of life, and survival in selected patients with heterogeneous emphysema. However, LVRS is a major surgical procedure with potential morbidity and mortality. Minimally invasive techniques are emerging to achieve lung volume reduction without open thoracotomy. Devices and techniques under study include one-way bronchial valves inserted via fiberoptic bronchoscopy to promote atelectasis in emphysematous lung, promotion of focal atelectasis and fibrosis by bronchoscopic injection of polymers into emphysematous regions of lung, bronchopulmonary fenestrations to enhance expiratory flow, and thoracoscopic plication or compression of emphysematous lung. The goal of all of these procedures is to replicate the benefit of LVRS without the trauma, risks, and extended recovery of open LVRS. Refinement and application of these techniques will allow patients with emphysema and their physicians and surgeons to choose from a number of viable options for lung volume reduction. |
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| MeSH term(s) | Bronchoscopy ; Female ; Humans ; Male ; Minimally Invasive Surgical Procedures/adverse effects ; Minimally Invasive Surgical Procedures/methods ; Pneumonectomy ; Postoperative Complications ; Prognosis ; Pulmonary Emphysema/diagnosis ; Pulmonary Emphysema/mortality ; Pulmonary Emphysema/surgery ; Respiratory Function Tests ; Risk Assessment ; Severity of Illness Index ; Survival Rate ; Thoracic Surgery, Video-Assisted/methods ; Thoracoscopy/methods ; Treatment Outcome | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2004-02 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article ; Review | ||||||||||
| ZDB-ID | 1032552-9 | ||||||||||
| ISSN | 1931-3543 ; 0012-3692 | ||||||||||
| ISSN (online) | 1931-3543 | ||||||||||
| ISSN | 0012-3692 | ||||||||||
| DOI | 10.1378/chest.125.2.777 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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