Lung volume reduction surgery

(Redirected from LVRS)
Jump to navigation Jump to search

WikiDoc Resources for Lung volume reduction surgery

Articles

Most recent articles on Lung volume reduction surgery

Most cited articles on Lung volume reduction surgery

Review articles on Lung volume reduction surgery

Articles on Lung volume reduction surgery in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Lung volume reduction surgery

Images of Lung volume reduction surgery

Photos of Lung volume reduction surgery

Podcasts & MP3s on Lung volume reduction surgery

Videos on Lung volume reduction surgery

Evidence Based Medicine

Cochrane Collaboration on Lung volume reduction surgery

Bandolier on Lung volume reduction surgery

TRIP on Lung volume reduction surgery

Clinical Trials

Ongoing Trials on Lung volume reduction surgery at Clinical Trials.gov

Trial results on Lung volume reduction surgery

Clinical Trials on Lung volume reduction surgery at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Lung volume reduction surgery

NICE Guidance on Lung volume reduction surgery

NHS PRODIGY Guidance

FDA on Lung volume reduction surgery

CDC on Lung volume reduction surgery

Books

Books on Lung volume reduction surgery

News

Lung volume reduction surgery in the news

Be alerted to news on Lung volume reduction surgery

News trends on Lung volume reduction surgery

Commentary

Blogs on Lung volume reduction surgery

Definitions

Definitions of Lung volume reduction surgery

Patient Resources / Community

Patient resources on Lung volume reduction surgery

Discussion groups on Lung volume reduction surgery

Patient Handouts on Lung volume reduction surgery

Directions to Hospitals Treating Lung volume reduction surgery

Risk calculators and risk factors for Lung volume reduction surgery

Healthcare Provider Resources

Symptoms of Lung volume reduction surgery

Causes & Risk Factors for Lung volume reduction surgery

Diagnostic studies for Lung volume reduction surgery

Treatment of Lung volume reduction surgery

Continuing Medical Education (CME)

CME Programs on Lung volume reduction surgery

International

Lung volume reduction surgery en Espanol

Lung volume reduction surgery en Francais

Business

Lung volume reduction surgery in the Marketplace

Patents on Lung volume reduction surgery

Experimental / Informatics

List of terms related to Lung volume reduction surgery


Overview

Lung volume reduction surgery, or LVRS, can improve the quality of life for certain COPD and emphysema patients. Parts of the lung that are particularly damaged by emphysema are removed, allowing the remaining, relatively good lung to expand and work better.

Conventional LVRS involves resection of the most severely affected areas of emphysematous, non-bullous lung (aim is for 20-30%). This is a surgical option involving a mini-thoracotomy for patients suffering end stage COPD due to underlying emphysema, and can improve lung elastic recoil as well as diaphragmatic function.

The National Emphysema Treatment Trial (Fishman et al., 2003) was a large multicentre study (N = 1218) comparing LVRS with medical treatment. Results suggested that:

  1. There was no overall survival advantage in the LVRS group, except for mainly upper-lobe emphysema + poor exercise capacity, and
  2. Significant improvements were seen in exercise capacity in the LVRS group.

Possible complications (Hopkins et al., 2006):

  • Mortality at 90 days of 1.8% and survival at 3 and 5 years of 91.1% and 76% respectively.
  • Prolonged air leak (mean duration post surgery until all ICC's removed is 10.9 +/- 8.0 days)

External Links

References

  • National Emphysema Treatment Trial Research Group (2003-05-22). "A Randomized Trial Comparing Lung-Volume–Reduction Surgery with Medical Therapy for Severe Emphysema". New England Journal of Medicine. Boston: Massachusetts Medical Society. 348 (21): 2059–2073. ISSN 0028-4793. OCLC 1587974. PMID 12759479. Retrieved 2009-07-13. Unknown parameter |coauthors= ignored (help)
  • Hopkins, P. M. (February 2006). "Long term results post conventional lung volume reduction surgery exceeds outcome of lung transplantation for emphysema". Journal of Heart and Lung Transplantation. St. Louis, Missouri: Mosby-Year Book. 25 (2): S61. doi:10.1016/j.healun.2005.11.053. ISSN 1053-2498. OCLC 22486861. Unknown parameter |coauthors= ignored (help); |access-date= requires |url= (help)


Template:WH Template:WS