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Compare short-term functional outcomes, postoperative complications, and mortality following bilateral lung volume reduction surgery performed by median sternotomy versus video-assisted thoracoscopic surgery in advanced emphysema.

December 1, 1996CHEST JournalOpen Access

Bilateral Lung Volume Reduction Surgery for Advanced Emphysema

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Compare short-term functional outcomes, postoperative complications, and mortality following bilateral lung volume reduction surgery performed by median sternotomy versus video-assisted thoracoscopic surgery in advanced emphysema.
Analyzed 120 patients with advanced emphysema who underwent bilateral lung volume reduction surgery via median sternotomy (n=80) or video-assisted thoracoscopic surgery (VATS, n=40).
Assessed functional outcomes preoperatively and at 3 to 6 months postoperatively using pulmonary function testing (FEV1, FVC, residual volume), arterial blood gas determination, and 6-minute walk testing.
Postoperative reintubation was required in 17.5% of the median sternotomy group compared to 2.5% of the VATS group (p = 0.02).
Total in-hospital mortality was 13.8% for median sternotomy versus 2.5% for VATS (p = 0.05), with mortality predominantly confined to patients aged 65 years or older, while 30-day operative mortality was 4.2% versus 2.5% (p = not significant).
Both surgical approaches produced equivalent functional improvements, with no significant differences in postoperative FEV1, FVC, residual volume, 6-minute walk distance, duration of air leaks, or length of hospital stay.

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Implication

Comparative study reveals video-assisted thoracoscopy reduces respiratory failure and mortality in advanced emphysema, indicating it may be the preferred approach for high-risk patients.

Cite This Study

Kotloff et al. (1996) studied this question.

synapsesocial.com/papers/6a9a69ba79522a6c1776ca96 https://doi.org/10.1378/chest.110.6.1399

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Implication

Comparative study reveals video-assisted thoracoscopy reduces respiratory failure and mortality in advanced emphysema, indicating it may be the preferred approach for high-risk patients.

Bilateral Lung Volume Reduction Surgery for Advanced Emphysema

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Discussion

Implication

Cite This Study

Bilateral Lung Volume Reduction Surgery for Advanced Emphysema

Key Points

Discussion

Implication

Cite This Study

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