Clinical and Quality of Life Outcomes After Lung Volume Reduction Surgery

Seadler, Benjamin; Thuppal, Sowmyanarayanan; Rizvi, Nisha; Markwell, Stephen; Sawyer, Justin D.; McCullough, K.M.; Crabtree, Traves D.; Hazelrigg, Stephen R.

doi:10.1016/j.athoracsur.2019.03.089

Cited by 12 publications

(3 citation statements)

References 19 publications

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“…In patients who underwent pleural tents, the drain was placed over the pleural tent (Figure 1). The average length of hospital stay was found to be 7.75 days (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and the time to removal the thorax drain was 9.5 (4-23) days. The demographic status of the patients and their perioperative findings are presented in Table II.…”

Section: Original Papermentioning

confidence: 99%

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Analysis of lung volume reduction surgery results with video-assisted thoracoscopic surgery in emphysematous lung patients

Kermenli¹,

Azar²

2020

kitp

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Aim: In our study, we aimed to evaluate the results of patients who underwent lung volume reduction surgery with videoassisted thoracoscopic surgery due to diffuse or upper lobe limited emphysema. Material and methods: Patients who underwent lung volume reduction surgery (LVRS) for emphysema in our clinic between March 2015 and January 2020 were included in the study. The files of the patients were evaluated retrospectively. Age, gender, smoking history, hospitalization time, drain removal time, complications, and postoperative pulmonary function test values were evaluated in the patient records. Results: Twenty-four of the patients were male and 2 were female. The average age was determined as 49.6. Twenty-six patients underwent 31 surgical procedures, 5 of which were bilateral. Twenty-seven of them were performed by videothoracoscopic LVRS. Preoperative mean forced expiratory volume in 1 s (FEV 1) value was 32.7%, total lung capacity 132%, residual volume 280%. The average length of hospital stay was found to be 7.75 days (4-19), and the time to remove the thorax drain was 9.5 (4-23) days. FEV 1 : 1.78 (48.5%) was found in the pulmonary function tests of the patients at the 6 th month postoperative controls. According to preoperative FEV 1 , 48.3% improvement was detected. Conclusions: Volume reduction surgery is a treatment method that positively affects the natural course of emphysema in addition to quitting smoking and oxygen therapy. Patients with predominantly emphysema in the upper lobes, low exercise capacity, and appropriate FEV 1 values benefited most from this treatment.

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Section: Original Papermentioning

confidence: 99%

“…The advantage of LVRS over medical treatment is more important in patients with upper lobe dominant emphysema and low exercise capacity after rehabilitation. On the other hand, lung volume reduction is reported to improve the quality of life in patients with advanced and heterogeneous emphysema [6].…”

Section: Introductionmentioning

confidence: 99%

Analysis of lung volume reduction surgery results with video-assisted thoracoscopic surgery in emphysematous lung patients

Kermenli¹,

Azar²

2020

kitp

View full text Add to dashboard Cite

show abstract

“…In addition, the duration of drain insertion has a significant impact on the length of hospital stay. Appropriately timed removal of thoracic drains facilitates improvement of the patient's quality of life and early postoperative recovery of lung function by reducing postoperative pain (1)(2)(3). Therefore, surgeons should remove the chest tube as soon as possible when it is no longer required.…”

Section: Introductionmentioning

confidence: 99%