Lung volume reduction surgery: an overview

Detalhes bibliográficos
Autor(a) principal: Sardenberg,Rodrigo Afonso da Silva
Data de Publicação: 2010
Outros Autores: Younes,Riad Naim, Deheizelin,Daniel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302010000600025
Resumo: This study intends to review the literature on the efficacy, safety and feasibility of lung volume reduction surgery (LVRS) in patients with advanced emphysema. Studies on LVRS from January 1995 to December 2009 were included by using Pubmed (MEDLINE) and Cochrane Library literature in English. Search words such as lung volume reduction surgery or lung reduction surgery, pneumoplasty or reduction pneumoplasty, COPD or chronic obstructive pulmonary disease and surgery, were used. We also compared medical therapy and surgical technique. Studies consisting of randomized controlled trials, controlled clinical trials (randomized and nonrandomized), reviews and case series were analyzed. Questions regarding validity of the early clinical reports, incomplete follow-up bias, selection criteria and survival, confounded the interpretation of clinical data on LVRS. Patients with upper, lower and diffuse distribution of emphysema were included; we also analyzed as key points perioperative morbidity and mortality and lung function measurement as FEV1. Bullous emphysema was excluded from this review. Surgical approach included median sternotomy, unilateral or bilateral thoracotomy, and videothoracoscopy with stapled or laser ablation. Results of prospective randomized trials between medical management and LVRS are essential before final assessment can be established.
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spelling Lung volume reduction surgery: an overviewThoracic surgeryThoracic surgery, video-assistedPulmonary emphysemaPulmonary disease, Chronic obstructiveVideo-assisted surgeryThis study intends to review the literature on the efficacy, safety and feasibility of lung volume reduction surgery (LVRS) in patients with advanced emphysema. Studies on LVRS from January 1995 to December 2009 were included by using Pubmed (MEDLINE) and Cochrane Library literature in English. Search words such as lung volume reduction surgery or lung reduction surgery, pneumoplasty or reduction pneumoplasty, COPD or chronic obstructive pulmonary disease and surgery, were used. We also compared medical therapy and surgical technique. Studies consisting of randomized controlled trials, controlled clinical trials (randomized and nonrandomized), reviews and case series were analyzed. Questions regarding validity of the early clinical reports, incomplete follow-up bias, selection criteria and survival, confounded the interpretation of clinical data on LVRS. Patients with upper, lower and diffuse distribution of emphysema were included; we also analyzed as key points perioperative morbidity and mortality and lung function measurement as FEV1. Bullous emphysema was excluded from this review. Surgical approach included median sternotomy, unilateral or bilateral thoracotomy, and videothoracoscopy with stapled or laser ablation. Results of prospective randomized trials between medical management and LVRS are essential before final assessment can be established.Associação Médica Brasileira2010-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302010000600025Revista da Associação Médica Brasileira v.56 n.6 2010reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/S0104-42302010000600025info:eu-repo/semantics/openAccessSardenberg,Rodrigo Afonso da SilvaYounes,Riad NaimDeheizelin,Danieleng2011-01-26T00:00:00Zoai:scielo:S0104-42302010000600025Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2011-01-26T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Lung volume reduction surgery: an overview
title Lung volume reduction surgery: an overview
spellingShingle Lung volume reduction surgery: an overview
Sardenberg,Rodrigo Afonso da Silva
Thoracic surgery
Thoracic surgery, video-assisted
Pulmonary emphysema
Pulmonary disease, Chronic obstructive
Video-assisted surgery
title_short Lung volume reduction surgery: an overview
title_full Lung volume reduction surgery: an overview
title_fullStr Lung volume reduction surgery: an overview
title_full_unstemmed Lung volume reduction surgery: an overview
title_sort Lung volume reduction surgery: an overview
author Sardenberg,Rodrigo Afonso da Silva
author_facet Sardenberg,Rodrigo Afonso da Silva
Younes,Riad Naim
Deheizelin,Daniel
author_role author
author2 Younes,Riad Naim
Deheizelin,Daniel
author2_role author
author
dc.contributor.author.fl_str_mv Sardenberg,Rodrigo Afonso da Silva
Younes,Riad Naim
Deheizelin,Daniel
dc.subject.por.fl_str_mv Thoracic surgery
Thoracic surgery, video-assisted
Pulmonary emphysema
Pulmonary disease, Chronic obstructive
Video-assisted surgery
topic Thoracic surgery
Thoracic surgery, video-assisted
Pulmonary emphysema
Pulmonary disease, Chronic obstructive
Video-assisted surgery
description This study intends to review the literature on the efficacy, safety and feasibility of lung volume reduction surgery (LVRS) in patients with advanced emphysema. Studies on LVRS from January 1995 to December 2009 were included by using Pubmed (MEDLINE) and Cochrane Library literature in English. Search words such as lung volume reduction surgery or lung reduction surgery, pneumoplasty or reduction pneumoplasty, COPD or chronic obstructive pulmonary disease and surgery, were used. We also compared medical therapy and surgical technique. Studies consisting of randomized controlled trials, controlled clinical trials (randomized and nonrandomized), reviews and case series were analyzed. Questions regarding validity of the early clinical reports, incomplete follow-up bias, selection criteria and survival, confounded the interpretation of clinical data on LVRS. Patients with upper, lower and diffuse distribution of emphysema were included; we also analyzed as key points perioperative morbidity and mortality and lung function measurement as FEV1. Bullous emphysema was excluded from this review. Surgical approach included median sternotomy, unilateral or bilateral thoracotomy, and videothoracoscopy with stapled or laser ablation. Results of prospective randomized trials between medical management and LVRS are essential before final assessment can be established.
publishDate 2010
dc.date.none.fl_str_mv 2010-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0104-42302010000600025
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.56 n.6 2010
reponame:Revista da Associação Médica Brasileira (Online)
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repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
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