Document Detail


New and emerging minimally invasive techniques for lung volume reduction.
MedLine Citation:
PMID:  14769765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Roger A Maxfield
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Chest     Volume:  125     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-10     Completed Date:  2004-03-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  777-83     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians & Surgeons, New York, NY, USA. ram7@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Bronchoscopy
Female
Humans
Male
Pneumonectomy
Postoperative Complications
Prognosis
Pulmonary Emphysema / diagnosis*,  mortality,  surgery*
Respiratory Function Tests
Risk Assessment
Severity of Illness Index
Surgical Procedures, Minimally Invasive / adverse effects,  methods
Survival Rate
Thoracic Surgery, Video-Assisted / methods*
Thoracoscopy / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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