[Bilateral video-assisted thoracoscopic volume reduction surgery for treatment of advanced pulmonary emphysema].
In a prospective study, we investigated the functional results, complications, and survival of patients who underwent bilateral video-assisted thoracoscopic (VAT) lung volume reduction surgery (VRS) for severe, diffuse pulmonary emphysema (FEV1 0.77 +/- 0.03 [1], RV/TLC 0.65, 12' walking distance 482 +/- 26 [m]). From January 94 to March 97, 67 of 179 candidates underwent the operation, and 58 patients (mean age 64 +/- 1.1, range 42-78 years; 17 women) fulfilled the study criteria. There was no 30-day mortality; hyperinflation decreased to an RV/TLC ratio of 0.52 +/- 0.01 after 3 months; FEV1 increased to 1.2 +/- 0.08 [1]; and the 12' walking distance was 687 +/- 29 [m].
Stammberger
U
U
Dep. Chirurgie, Universitätsspital Zürich.
Thurnheer
R
R
Russi
E W
EW
Largiadèr
F
F
Weder
W
W
D000328:Adult; D000368:Aged; D019723:Endoscopes; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000295:instrumentation; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011446:Prospective Studies; D011656:Pulmonary Emphysema / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate; D020708:Thoracoscopes; D016896:Treatment Outcome; D014741:Video Recording / Q000295:instrumentation*
Bilaterale videoassistierte thorakoskopische Volumenreduktionschirurgie zur Behandlung des fortgeschrittenen Lungenemphysems.