Abstract
Lung volume reduction surgery (LVRS) is designed to improve respiratory function by resecting the most diseased lung tissue in patients with severe emphysematous COPD. In a selected subset of patients with severe emphysema, LVRS can improve exercise capacity, quality of life, and possibly survival compared to maximum medical therapy. Because it is performed on patients with debilitating pulmonary function and significant comorbidities, it requires proper patient selection and diligent anesthetic planning and implementation.
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Selected References
Fishman A, Martinez F, et al. A randomized trial comparing lung-volume reduction surgery with medical therapy for severe emphysema. N Engl J Med. 2003;348(21):2059–73.
National Emphysema Trial Treatment Group. Patients at high risk of death after lung-volume reduction surgery. N Engl J Med. 2001;345(15):1075–83.
Kotloff RM, Tino G, Bavaria JE, et al. “Bilateral lung volume reduction for advanced emphysema. a comparison of median sternotomy and thoracoscopic approaches.” Chest. 1996;100:1399–1406.
Brenner M, McKenna RJ, et al. Rate of FEV1 change following lung volume reduction surgery. Chest. 1998;113:652–9.
DeCamp MM, Blackstone EH, et al. Patient and surgical factors influencing air leak after lung volume reduction surgery: lessons learned from the national emphysema treatment trial. Ann Thorac Surg. 2006;82(1):197–207.
Suggested Further References
Naunheim KS, Wood DE, et al. Long-term follow-up of patients receiving lung-volume-reduction surgery versus medical therapy for severe emphysema by the National Emphysema Treatment Trial Research Group. Ann Thorac Surg. 2006;82(2):431–43.
Brister NW, Barnette RE, et al, “Anesthetic considerations in candidates for lung volume reduction surgery”. Proc Am Thorac Soc. 2008;1,5(4):432–7. Review.
Hartigan PM, Pedoto A. Anesthetic considerations for lung volume reduction surgery and lung transplantation. Thorac Surg Clin. 2005;15:143–57.
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Thaemert, N.L. (2012). Lung Volume Reduction Surgery. In: Hartigan, P. (eds) Practical Handbook of Thoracic Anesthesia. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-88493-6_24
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DOI: https://doi.org/10.1007/978-0-387-88493-6_24
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