BIOMAT Database Logo BIOMAT Database Logo

Bilateral lung volume reduction surgery via median sternotomy for severe pulmonary emphysema. 1998

H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Department of Surgery II, Okayama University School of Medicine, Japan.

BACKGROUND Lung volume reduction surgery either via sternotomy or by thoracoscopy has been demonstrated to be effective for selected emphysema patients in North America and Europe. The present study summarizes short-term results of bilateral lung volume reduction performed via median sternotomy for the first consecutive 39 patients with severe diffuse emphysema in Okayama, Japan, from July 1995 to February 1997. METHODS There were 35 men and 4 women, and the age range was 54 to 74 years with a mean age of 65 years. All were former heavy smokers and none of them had alpha1-antitrypsin deficiency. Only 9 patients (23%) showed a bilateral upper lobe pattern of emphysema. The operation was done through a median sternotomy, and the most emphysematous portions were excised bilaterally with a linear stapling device fitted with strips of bovine pericardium to prevent air leakage. RESULTS No operative death was encountered. The first 33 patients completed 3-month follow-up assessment, and their mean forced expiratory volume in 1 second had improved by 41% from 735 mL to 1,037 mL. Other parameters of pulmonary function tests, arterial blood gas analysis, 6-minute walking distance, and dyspnea scale also had improved significantly. These improvements lasted for at least a year. CONCLUSIONS Bilateral lung volume reduction surgery via median sternotomy is a safe and effective procedure for selected severe emphysema patients. Although the pattern of emphysema might be different between countries, the results in Japanese patients were similar to those previously reported in North American and European patients.

UI MeSH Term Description Entries
D007564 Japan A country in eastern Asia, island chain between the North Pacific Ocean and the Sea of Japan, east of the Korean Peninsula. The capital is Tokyo. Bonin Islands
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010496 Pericardium A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers. Epicardium,Fibrous Pericardium,Parietal Pericardium,Pericardial Cavity,Pericardial Space,Serous Pericardium,Visceral Pericardium,Cavities, Pericardial,Cavity, Pericardial,Pericardial Cavities,Pericardial Spaces,Pericardium, Fibrous,Pericardium, Parietal,Pericardium, Serous,Pericardium, Visceral,Pericardiums, Fibrous,Pericardiums, Serous,Serous Pericardiums,Space, Pericardial,Spaces, Pericardial
D011013 Pneumonectomy The excision of lung tissue including partial or total lung lobectomy. Bronchoscopic Lung Volume Reduction,Endoscopic Lung Volume Reduction,Lung Volume Reduction,Lung Volume Reduction Surgery,Partial Pneumonectomy,Partial Pneumonectomies,Pneumonectomies,Pneumonectomy, Partial,Reduction, Lung Volume,Volume Reduction, Lung
D011030 Pneumothorax An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL. Pneumothorax, Primary Spontaneous,Pressure Pneumothorax,Primary Spontaneous Pneumothorax,Spontaneous Pneumothorax,Tension Pneumothorax,Pneumothorax, Pressure,Pneumothorax, Spontaneous,Pneumothorax, Tension,Spontaneous Pneumothorax, Primary
D011656 Pulmonary Emphysema Enlargement of air spaces distal to the TERMINAL BRONCHIOLES where gas-exchange normally takes place. This is usually due to destruction of the alveolar wall. Pulmonary emphysema can be classified by the location and distribution of the lesions. Emphysema, Pulmonary,Centriacinar Emphysema,Centrilobular Emphysema,Emphysemas, Pulmonary,Focal Emphysema,Panacinar Emphysema,Panlobular Emphysema,Pulmonary Emphysemas,Centriacinar Emphysemas,Centrilobular Emphysemas,Emphysema, Centriacinar,Emphysema, Centrilobular,Emphysema, Focal,Emphysema, Panacinar,Emphysema, Panlobular,Emphysemas, Centriacinar,Emphysemas, Centrilobular,Emphysemas, Focal,Emphysemas, Panacinar,Emphysemas, Panlobular,Focal Emphysemas,Panacinar Emphysemas,Panlobular Emphysemas
D012115 Residual Volume The volume of air remaining in the LUNGS at the end of a maximal expiration. Common abbreviation is RV. Residual Volumes,Volume, Residual,Volumes, Residual
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus

Related Publications

H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Bilateral lung volume reduction surgery for advanced emphysema. A comparison of median sternotomy and thoracoscopic approaches.
December 1996, Chest,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
[One-stage bilateral lung volume reduction surgery with median sternal incision for diffuse pulmonary emphysema].
March 1997, [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
[Lung volume reduction surgery for severe pulmonary emphysema in Iceland].
December 2011, Laeknabladid,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
[Bilateral lung volume reduction in patients with severe pulmonary emphysema].
July 1996, Pneumologie (Stuttgart, Germany),
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung volume reduction surgery for severe emphysema.
November 2003, TEC bulletin,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung volume reduction surgery for severe emphysema.
December 1998, The Journal of cardiovascular surgery,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung volume reduction surgery for severe emphysema.
January 1996, Seminars in thoracic and cardiovascular surgery,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung volume reduction surgery for severe emphysema.
April 1996, Tecnologica (Chicago, Ill.),
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung volume reduction surgery for severe emphysema.
April 1999, Tecnologica. MAP supplement. Blue Cross and Blue Shield Association. Medical Advisory Panel,
H Date, and K Goto, and R Souda, and H Nagashima, and I Togami, and S Endou, and M Aoe, and M Yamashita, and A Andou, and N Shimizu
Lung-volume reduction surgery for severe emphysema.
November 1995, Chest surgery clinics of North America,
Copied contents to your clipboard!