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Related Concept Videos

Respiratory Volumes01:15

Respiratory Volumes

Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

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Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
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Lung volume reduction surgery 10 years later.

S Baldi1, A Oliaro, G Tabbia

  • 1Pulmonary Division, Ospedale S. Giovanni Battista, Turin, Italy. baldi_sergio@hotmail.com

The Journal of Cardiovascular Surgery
|December 5, 2012
PubMed
Summary
This summary is machine-generated.

Lung volume reduction surgery (LVRS) offers long-term survival benefits for a select group of emphysema patients. Preoperative factors like upper lobe emphysema and pulmonary arterial pressure predict this extended survival.

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Area of Science:

  • Pulmonary Medicine
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Lung volume reduction surgery (LVRS) has shown short-term benefits for emphysema patients.
  • Long-term durability of these benefits requires further investigation.

Purpose of the Study:

  • To assess the long-term persistence of functional outcomes and survival after LVRS.
  • To identify preoperative and early postoperative variables predicting long-term success.

Main Methods:

  • Retrospective analysis of 52 emphysema patients undergoing LVRS (1993-2000) with >10-year follow-up.
  • Evaluation of lung function, survival, and relevant clinical variables.
  • Inclusion of 11 lung transplant recipients for comparative survival analysis.

Main Results:

  • Upper lobe emphysema distribution and systolic pulmonary artery pressure were significant predictors of long-term survival (p<0.05).
  • A subgroup of 14 patients demonstrated survival exceeding 10 years.
  • Lung transplantation in severely impaired patients showed a trend towards improved survival compared to expected values.

Conclusions:

  • LVRS can achieve very long-term survival (≥10 years) in a specific subset of emphysema patients.
  • Preoperative factors, including emphysema distribution and pulmonary arterial pressure, can predict long-term survival.
  • Lung transplantation may be a viable option for selected patients, potentially improving life expectancy.