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Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
Published on: February 14, 2022
Operative techniques for lung volume reduction surgery
1Division of Thoracic Surgery, University of Maryland, 22 South Greene Street, N4E35, Baltimore, MD 21201, USA. zgamliel@smail.umaryland.edu
Chest Surgery Clinics of North America
|December 20, 2003
Summary
Lung volume reduction surgery (LVRS) offers various techniques, with stapled methods common. Bilateral thoracoscopy in the supine position shows promise for expeditious LVRS with minimal complications.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
Background:
- Lung volume reduction surgery (LVRS) is gaining renewed interest.
- Multiple surgical approaches exist, each with unique benefits and drawbacks.
Purpose of the Study:
- To review current surgical techniques for LVRS.
- To compare the efficacy and safety of different LVRS approaches.
Main Methods:
- Review of stapled techniques, plication techniques, and laser treatments for LVRS.
- Evaluation of minimally invasive approaches, including bilateral thoracoscopy.
Main Results:
- Stapled techniques are more prevalent than plication or laser methods.
- Staple buttressing material does not appear to influence outcomes.
- Bilateral procedures are generally recommended for suitable LVRS candidates.
- Minimally invasive techniques, particularly bilateral thoracoscopy in the supine position, demonstrate favorable results, including reduced morbidity.
Conclusions:
- Bilateral thoracoscopy in the supine position is a highly effective and safe minimally invasive approach for LVRS.
- This technique offers the most expeditious procedure with the lowest risk of incision-related complications.
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