Lung Volume Reduction Surgery in Patients with Homogeneous Emphysema

被引：2
|
作者：
Weder, Walter [1 ]
Ceulemans, Laurens J. [2 ]
Opitz, Isabelle [3 ]
Schneiter, Didier [3 ]
Caviezel, Claudio [3 ]
机构：
[1] Thoraxchirurg Bethanien, Thorac Surg, Toblerstr 61, CH-8044 Zurich, Switzerland
[2] Univ Hosp Leuven, Dept Thorac Surg, Herestr 49, B-3000 Leuven, Belgium
[3] Univ Hosp Zurich, Dept Thorac Surg, Ramistr 100, CH-8091 Zurich, Switzerland
来源：
THORACIC SURGERY CLINICS | 2021年 / 31卷 / 02期
关键词：
LVRS; Homogeneous emphysema; Surgery for emphysema; ENDOBRONCHIAL COILS; MEDICAL THERAPY;
D O I：
10.1016/j.thorsurg.2021.02.007
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Randomized controlled trials have demonstrated that lung volume reduction surgery (LVRS) improves exercise capacity, lung function, and quality of life in patients with heterogenous emphysema on computed tomographic and perfusion scan. However, most patients have a nonheterogenous type of destruction. These patients, summarized under "homogeneous emphysema," may also benefit from LVRS as long they are severely hyperinflated, and adequate function is remaining with a diffusing capacity of the lungs for carbon monoxide greater than 20% and no pulmonary hypertension. Surgical mortality is low when patients are well selected. Copyright © 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：203 / 209
页数：7
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