title: [Thoracoscopic methods in treatment of pulmonary emphysema].
abstract: Technical advances in the field of endoscopical surgery have widened the spectrum of thoracoscopic operations in the therapy of lung emphysema. Especially in patients who are severely disabled as a result of their reduced lung function, a less surgical trauma should result in better postoperative performance. Bullectomy, which was an integral part of the spectrum in thoracic surgery for a long time, should be performed in a minimally invasive way today. In the American literature, disappointing results have been published concerning laser resection of emphysematous lung tissue. As a result, this method should be abandoned. In contrast, lung volume reduction surgery in patients with diffuse emphysema has caused significant improvement in lung function. The initial approach to this method was a median sternotomy. However, recent experiences in several centers have demonstrated the feasibility and efficiency of a thoracoscopic procedure.
authors.affiliation: Abteilung Herz-Thoraxchirurgie, Chirurgische Universitätsklinik Wien.
authors.forename: W
authors.initials: W
authors.lastname: Klepetko
authors.forename: W
authors.initials: W
authors.lastname: Wisser
mesh_terms: D019723:Endoscopes; D004724:Endoscopy; D006801:Humans; D053685:Laser Therapy; D008176:Lung Volume Measurements; D019060:Minimally Invasive Surgical Procedures; D011013:Pneumonectomy / Q000295:instrumentation; D011656:Pulmonary Emphysema / Q000601:surgery*; D015996:Survival Rate; D020708:Thoracoscopes; D013906:Thoracoscopy; D016896:Treatment Outcome
vernacular_title: Thoracoskopische Methoden in der Behandlung des Lungenemphysems.