Operative techniques for lung volume reduction surgery

The first lung volume reduction procedure described by Brantigan was performed unilaterally via thoracotomy . The technique was difficult and was associated with high postoperative morbidity and mortality rates. Using a modified technique based on the same principles, Cooper demonstrated significantly improved results . Since then, it has become apparent that the outcome of lung volume reduction surgery (LVRS) is dependent upon careful patient selection and surgical technique. While a discussion of patient selection criteria is beyond the scope of this article, several aspects of surgical technique are relevant, including preoperative patient preparation, surgical approach, technique of lung resection, and technical postoperative management issues.

Source: Chest Surgery Clinics of North America - November 1, 2003 Category: Cardiovascular & Thoracic Surgery Authors: Ziv Gamliel, Mark J Krasna Source Type: research