Skip to main content

Lung Volume Reduction Surgery

  • Chapter
  • First Online:
Practical Handbook of Thoracic Anesthesia

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Selected References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  Google Scholar 

  3. 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.

    Google Scholar 

  4. Brenner M, McKenna RJ, et al. Rate of FEV1 change following lung volume reduction surgery. Chest. 1998;113:652–9.

    Article  PubMed  CAS  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Hartigan PM, Pedoto A. Anesthetic considerations for lung volume reduction surgery and lung transplantation. Thorac Surg Clin. 2005;15:143–57.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-88493-6_24

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-88492-9

  • Online ISBN: 978-0-387-88493-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics