[A national survey of results of lung volume reduction surgery (LVRS) for pulmonary emphysema in Japan].
We made a national questionnaire survey of conditions and results of lung volume reduction surgery (LVRS) performed for pulmonary emphysema in 273 hospitals. The survey covered: number of hospitals, number of patients, indications, operative procedures, improvement of FEV1% and dyspnea score, mortality, cause of death, 5-year survival rate, characteristics of patients who died, and current conditions of LVRS. The response rate was 63%. A total of 619 patients at 41 hospitals underwent LVRS. The most common types of surgical procedure were bilateral LVRS through median sternotomy and unilateral LVRS with video-assisted thoracoscopic surgery (VATS), followed by bilateral LVRS with VATS. Postoperative improvement in FEV1% averaged 39%. Dyspnea improved in 80% of patients. Mortality rate was 1.9% (8 of 432 cases). Postoperative infectious diseases, namely pneumonia and sepsis, were common causes of death. The 5-year survival was 65 +/- 8%. The causes of death over 5 years were respiratory failure in 60%, malignant neoplasms in 17%, cardiovascular accidents in 13% and others in 10%. The number of operations and hospitals decreased in 2002, compared to 2001.
Kaga
Kichizo
K
Department of Surgery, Tokai University School of Medicine.
Kuwahira
Ichiro
I
Iwasaki
Masayuki
M
Iwamoto
Tokuzen
T
Inoue
Hiroshi
H
Matsuse
Takeshi
T
Fukuchi
Yoshinosuke
Y
D000368:Aged; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D011013:Pneumonectomy / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data*; D011656:Pulmonary Emphysema / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D011795:Surveys and Questionnaires; D015996:Survival Rate; D020775:Thoracic Surgery, Video-Assisted / Q000401:mortality / Q000706:statistics & numerical data