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Unilateral thoracoscopic laser pneumoplasty of diffuse bullous emphysema
1Wakabayashi Institute, Irvine Medical Center, University of California, College of Medicine, Irvine, USA.
Abstract:
The technical details of thoracoscopic laser pneumoplasty (TLP) by means of a contact neodymium:yttrium-aluminum-garnet (Nd:YAG) laser is described. Retrospective analysis of 769 unilateral TLPs indicated that the operative risk is acceptable (6% 3-months mortality rate), and significant subjective and objective improvement was achieved. Recurrent bullous emphysema is discussed. TLP is an effective treatment of advanced emphysema.