PMID: 9543525Apr 16, 1998Paper

Bilateral thoracoscopic stapled volume reduction for bullous vs diffuse emphysema

Surgical Endoscopy
J K Champion, J B McKernan

Abstract

We compared our results with bullous vs diffuse emphysema by performing a bilateral thoracoscopic stapled volume reduction technique in 15 patients (age 45-80, 10 males, five females). Eight patients demonstrated bullous emphysema and seven patients diffuse emphysema. Lung reduction was performed with a bilateral thoracoscopic stapled technique utilizing bovine pericardium in the supine position. Comparison of the bullous versus diffuse groups revealed no significant differences in means for the following variables: length of air leak (7.5 vs 3.3 days); length of stay (8.1 vs 6.5 days); pre-op FEV1, (23% vs 22%); pre-op dyspnea index (3.4 vs 3.6). At 3 months the bullous subset had a highly significant improvement (p < 0.007) in FEV1 (88%) compared with the diffuse subset FEV1 (59%). These early results suggest that patients with bullous emphysema are at no greater risk and demonstrate a significantly greater improvement in FEV1 than patients with diffuse emphysema.

Citations

Jul 4, 2006·World Journal of Surgery·Reinhard Bittner
Oct 27, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Chike V Chukwumah, Jeffrey L Ponsky
Jul 24, 2013·Surgical Endoscopy·V V Grubnik, A V Malynovskyy
Dec 3, 2003·Veterinary Surgery : VS·Herve N BrissotLaurent Paquet
Dec 20, 2003·Chest Surgery Clinics of North America·Jacob A GreenbergLarry R Kaiser

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