title: [Surgical treatment of pulmonary emphysema].
abstract: Lung volume reduction has become an accepted option for surgical treatment of pulmonary emphysema. Lately this method was introduced in Lithuania.The first 14 of 19 patients, who underwent lung volume reduction surgery, where admitted due to spontaneous pneumothorax, that is a common complication of pulmonary emphysema. Lung volume reduction using wedge resection or plication was performed in 13 and 6 patients respectively. Rethoracotomy was required for postoperative bleeding (2 cases) and prolonged air leakage (1 case). Two patients died. Pulmonary insufficiency decreased significantly in 2/3 of operated on patients. There were no recurrent spontaneous pneumothorax.
authors.affiliation: Clinic of Thoracic Surgery, Kaunas University of Medicine Hospital, Eiveniu 2, 3007 Kaunas, Lithuania.
authors.forename: Romaldas
authors.initials: R
authors.lastname: Rubikas
authors.forename: Paulius
authors.initials: P
authors.lastname: Gradauskas
authors.forename: Diana
authors.initials: D
authors.lastname: Samiatina
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery; D011656:Pulmonary Emphysema / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D013906:Thoracoscopy; D013908:Thoracotomy; D013997:Time Factors; D016896:Treatment Outcome