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[Palliative surgical correction of respiratory insufficiency in diffusive pulmonary emphysema]

S D Gorbunkov¹, V V Varlamov¹, S M Cherny¹

¹Pavlov First St. Petersburg State Medical University of the Healthcare Ministry of the Russian Federation, St. Petersburg, Russia.

|October 28, 2017

Abstract

Aim:

To analyze early postoperative period in patients with diffuse pulmonary emphysema after palliative surgical correction of respiratory failure.

Material And Methods:

The study included 196 patients who underwent bullectomy (n=111) and surgical reduction of pulmonary volume (n=85).

Results And Discussion:

Overall morbidity and mortality were 40.8% and 12.2% respectively. Among patients older than 60 years these values were significantly higher (58.0% and 22.6% respectively). It was shown that age over 60 years is associated with high risk of complications and mortality after excision of large and giant bulls. In patients <60 years morbidity is comparable after bullectomy and surgical reduction of pulmonary volume.

Conclusion:

Selection of patients for palliative surgical correction of respiratory failure is generally corresponded to that for lung transplantation. However, these methods should be considered complementary rather competing.

Keywords:

palliative surgical correction pulmonary emphysema respiratory insufficiency

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