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Surgical strategy for lung volume reduction surgery.

S R Hazelrigg1, T M Boley, A Grasch

  • 1Southern Illinois University, School of Medicine, Cardiothoracic Surgery, Springfield 62794-9638, USA. shazelrigg@siumed.edu

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|October 28, 1999
PubMed
Summary

Lung volume reduction surgery (LVRS) offers excellent results for patients with hyperinflation and heterogeneous lung disease, improving lung function and exercise tolerance. Controversies regarding surgical techniques and patient selection are reviewed.

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Medical Technology

Background:

  • Lung volume reduction surgery (LVRS) has been a significant intervention since the early 1990s.
  • A consensus identifies patients with marked hyperinflation and heterogeneous disease as ideal candidates for LVRS.
  • This patient profile typically experiences substantial improvements in lung function and exercise tolerance post-surgery.

Purpose of the Study:

  • To review the existing literature on lung volume reduction surgery (LVRS).
  • To discuss and clarify areas of controversy surrounding LVRS.
  • To provide an overview of patient selection and surgical technique considerations.

Main Methods:

  • Literature review of existing studies on lung volume reduction surgery (LVRS).

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  • Analysis of data concerning patient outcomes, surgical approaches, and controversial aspects.
  • Synthesis of findings to address key questions in the field.

    • Main Results:

    • LVRS demonstrates excellent outcomes in selected patients, specifically those with hyperinflation and heterogeneous disease.
    • Improvements in lung function and exercise tolerance are consistently reported in ideal candidates.
    • Key areas of debate include the use of lasers, unilateral versus bilateral approaches, staged procedures, and optimal surgical routes.

    Conclusions:

    • LVRS is a valuable treatment for specific patient groups, enhancing lung function and exercise capacity.
    • Further research and discussion are needed to resolve controversies surrounding surgical techniques and patient selection for LVRS.
    • The review highlights the importance of tailoring LVRS to individual patient profiles for optimal results.