Lung volume reduction surgery: Lessons learned
The concept of lung volume reduction for generalized emphysema was proposed by Brantigan and associates in 1958 and reintroduced by Cooper and colleagues in 1994. The present study presents lessons learned from an 18-month experience. From August 1, 1994 to August 1, 1995, 53 patients underwent lung...
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| Veröffentlicht in: | The Annals of thoracic surgery 1996-05, Vol.61 (5), p.1464-1469 |
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| container_title | The Annals of thoracic surgery |
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| creator | Miller, Joseph I. Lee, Robert B. Mansour, Kamal A. |
| description | The concept of lung volume reduction for generalized emphysema was proposed by Brantigan and associates in 1958 and reintroduced by Cooper and colleagues in 1994. The present study presents lessons learned from an 18-month experience.
From August 1, 1994 to August 1, 1995, 53 patients underwent lung volume reduction at Emory University for generalized emphysema. There were 17 women and 36 men ranging in age from 55 to 75 years. The length of stay ranged from 10 to 59 days. At the time of presentation, 47 patients were receiving oxygen and 35 were receiving steroids. Forty-six patients were operated on using a median sternotomy and 7 through a unilateral thoracotomy. All patients underwent preoperative and postoperative pulmonary rehabilitation.
There was one early death and four late deaths. Lessons learned from this group of patients are presented.
Lung volume reduction surgery remains a sea of relatively uncharted waters, with the future direction yet to be determined. |
| doi_str_mv | 10.1016/0003-4975(96)00124-5 |
| format | Article |
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From August 1, 1994 to August 1, 1995, 53 patients underwent lung volume reduction at Emory University for generalized emphysema. There were 17 women and 36 men ranging in age from 55 to 75 years. The length of stay ranged from 10 to 59 days. At the time of presentation, 47 patients were receiving oxygen and 35 were receiving steroids. Forty-six patients were operated on using a median sternotomy and 7 through a unilateral thoracotomy. All patients underwent preoperative and postoperative pulmonary rehabilitation.
There was one early death and four late deaths. Lessons learned from this group of patients are presented.
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From August 1, 1994 to August 1, 1995, 53 patients underwent lung volume reduction at Emory University for generalized emphysema. There were 17 women and 36 men ranging in age from 55 to 75 years. The length of stay ranged from 10 to 59 days. At the time of presentation, 47 patients were receiving oxygen and 35 were receiving steroids. Forty-six patients were operated on using a median sternotomy and 7 through a unilateral thoracotomy. All patients underwent preoperative and postoperative pulmonary rehabilitation.
There was one early death and four late deaths. Lessons learned from this group of patients are presented.
Lung volume reduction surgery remains a sea of relatively uncharted waters, with the future direction yet to be determined.</description><subject>Aged</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Selection</subject><subject>Pneumonectomy - methods</subject><subject>Postoperative Care</subject><subject>Postoperative Complications</subject><subject>Pulmonary Emphysema - surgery</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF9LwzAUxYMoc06_gUKfRB86kyZtEx8EGf6Dgi_6HNrkdkTaZibNYN_elI09-nQ5nJtzc34IXRO8JJgUDxhjmjJR5neiuMeYZCzNT9Cc5HmWFlkuTtH8uHKOLrz_iTKL9gzNeEGpKPAcLaswrJOt7UIPiQMd1GjskPjg1uB2j0kF3tvBJx3UbgB9ic7auvNwdZgL9P368rV6T6vPt4_Vc5UqRsWYti1lTZFRxYUSqqYNMJ1ByXTJmWiUEnWZARDFQHBO6_hDwTHNcRQctMjpAt3uczfO_gbwo-yNV9B19QA2eFny2JfEEgvE9ovKWe8dtHLjTF-7nSRYTpjkxEBODKSYRMQkp_ybQ35oetDHRwcu0X_a-xBLbg046ZWBQYE2DtQotTX_H_gDugB1gA</recordid><startdate>19960501</startdate><enddate>19960501</enddate><creator>Miller, Joseph I.</creator><creator>Lee, Robert B.</creator><creator>Mansour, Kamal A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960501</creationdate><title>Lung volume reduction surgery: Lessons learned</title><author>Miller, Joseph I. ; Lee, Robert B. ; Mansour, Kamal A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-ff34b623c89c9ca3be4d2e74d7849bcc9a72ee1c4e9883a4979803508838ed953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Selection</topic><topic>Pneumonectomy - methods</topic><topic>Postoperative Care</topic><topic>Postoperative Complications</topic><topic>Pulmonary Emphysema - surgery</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, Joseph I.</creatorcontrib><creatorcontrib>Lee, Robert B.</creatorcontrib><creatorcontrib>Mansour, Kamal A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, Joseph I.</au><au>Lee, Robert B.</au><au>Mansour, Kamal A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung volume reduction surgery: Lessons learned</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1996-05-01</date><risdate>1996</risdate><volume>61</volume><issue>5</issue><spage>1464</spage><epage>1469</epage><pages>1464-1469</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>The concept of lung volume reduction for generalized emphysema was proposed by Brantigan and associates in 1958 and reintroduced by Cooper and colleagues in 1994. The present study presents lessons learned from an 18-month experience.
From August 1, 1994 to August 1, 1995, 53 patients underwent lung volume reduction at Emory University for generalized emphysema. There were 17 women and 36 men ranging in age from 55 to 75 years. The length of stay ranged from 10 to 59 days. At the time of presentation, 47 patients were receiving oxygen and 35 were receiving steroids. Forty-six patients were operated on using a median sternotomy and 7 through a unilateral thoracotomy. All patients underwent preoperative and postoperative pulmonary rehabilitation.
There was one early death and four late deaths. Lessons learned from this group of patients are presented.
Lung volume reduction surgery remains a sea of relatively uncharted waters, with the future direction yet to be determined.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>8633960</pmid><doi>10.1016/0003-4975(96)00124-5</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-4975 |
| ispartof | The Annals of thoracic surgery, 1996-05, Vol.61 (5), p.1464-1469 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Female Forced Expiratory Volume Humans Male Middle Aged Patient Selection Pneumonectomy - methods Postoperative Care Postoperative Complications Pulmonary Emphysema - surgery Retrospective Studies Treatment Outcome |
| title | Lung volume reduction surgery: Lessons learned |
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