Header

UZH-Logo

Maintenance Infos

Lung volume reduction surgery


Caviezel, Claudio; Weder, Walter (2017). Lung volume reduction surgery. In: Kaiser, L; Jamieson, G G; Thompson, S K. Operative Thoracic Surgery. Boca Raton, London, New York: CRC Press, 239-244.

Abstract

LVRS downsizes the hyperinflated lung to a more physiologic size. This makes the diaphragmatic dome move upward and increases the area of muscle apposed to the rib cage. This effect improves maximal ventilator and exercise capacity by optimizing the match between the size of the lungs and the rib cage. LVRS improves global inspiratory muscle strength and the contribution of the diaphragm to inspiratory pressure generation and tidal volume. LVRS is offered to selected patients with severe obstruction, as defined by forced expiratory volume in 1 second (FEV1) between 20" and 45" of the predicted value, hyperinflation greater than 150", and residual volume to total lung capacity ratio (RV/TLC) of more than 60". The operation can be performed as an open or thoracoscopic (video-assisted thoracoscopic surgery [VATS]) procedure and may be done unilaterally or bilaterally or staged bilaterally.

Abstract

LVRS downsizes the hyperinflated lung to a more physiologic size. This makes the diaphragmatic dome move upward and increases the area of muscle apposed to the rib cage. This effect improves maximal ventilator and exercise capacity by optimizing the match between the size of the lungs and the rib cage. LVRS improves global inspiratory muscle strength and the contribution of the diaphragm to inspiratory pressure generation and tidal volume. LVRS is offered to selected patients with severe obstruction, as defined by forced expiratory volume in 1 second (FEV1) between 20" and 45" of the predicted value, hyperinflation greater than 150", and residual volume to total lung capacity ratio (RV/TLC) of more than 60". The operation can be performed as an open or thoracoscopic (video-assisted thoracoscopic surgery [VATS]) procedure and may be done unilaterally or bilaterally or staged bilaterally.

Statistics

Citations

Dimensions.ai Metrics

Altmetrics

Additional indexing

Item Type:Book Section, not_refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Thoracic Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Medicine
Language:English
Date:November 2017
Deposited On:13 Feb 2019 17:40
Last Modified:04 Jul 2021 13:45
Publisher:CRC Press
Number:6
ISBN:9781482299571
Additional Information:eBook ISBN 9781482299588 // Chapter 21
OA Status:Closed
Publisher DOI:https://doi.org/10.1201/9781315113777

Download

Full text not available from this repository.
View at publisher

Get full-text in a library