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Current status of thoracoscopic lung volume reduction
P E Krucylak1, C A Keller, K S Naunheim
1Department of Anesthesiology, Saint Louis University Health Sciences Center, 3635 Vista Avenue at Grand Boulevard, PO Box 15250, St. Louis, Missouri 63110-0250, USA.
World Journal of Surgery
|September 29, 1999
Summary
Video-assisted thoracic surgery (VATS) is a renewed surgical option for emphysema treatment. This approach for lung volume reduction shows promise as a valuable tool for managing severe emphysema patients.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Technology
Background:
- Emphysema treatment is evolving with surgical options.
- Lung volume reduction surgery (LVRS) is being revisited.
- Video-assisted thoracic surgery (VATS) is a key technique in modern LVRS.
Purpose of the Study:
- To review and compare published reports on VATS for emphysema.
- To assess the current state of surgical therapy for emphysema.
- To evaluate the efficacy of thoracoscopic lung volume reduction.
Main Methods:
- Review of published literature on VATS for emphysema.
- Comparison of different patient selection criteria.
- Analysis of varied preoperative preparations, operative approaches, and surgical techniques.
Main Results:
- Published reports on VATS for emphysema show variability.
- Different studies employ diverse patient selection and surgical methods.
- Thoracoscopic lung volume reduction is a developing surgical strategy.
Conclusions:
- VATS is a viable surgical option for emphysema.
- Thoracoscopic lung volume reduction is a useful addition to surgical management of severe emphysema.
- Further standardization of VATS techniques may enhance outcomes.