Comparison of short-term functional outcomes following unilateral and bilateral lung volume reduction surgery.

Publication/Presentation Date

4-1-1998

Abstract

STUDY OBJECTIVES: To compare short-term functional outcomes following unilateral and bilateral lung volume reduction surgery (LVRS) performed in patients with advanced emphysema.

METHODS: LVRS was performed unilaterally in 32 patients and bilaterally in 119 patients. Pulmonary function testing and 6-min walk test (6MWT) were performed preoperatively and repeated at 3 to 6 months postoperatively.

RESULTS: Bilateral LVRS was associated with increased in-hospital mortality (10% vs 0%, p

CONCLUSIONS: Bilateral LVRS produces a greater magnitude of short-term functional improvement than does the unilateral procedure and should be considered the procedure of choice for most patients. Unilateral LVRS should be reserved for patients in whom factors contraindicating entrance into one hemithorax exist.

Volume

113

Issue

4

First Page

890

Last Page

895

ISSN

0012-3692

Disciplines

Medicine and Health Sciences

PubMedID

9554621

Department(s)

Department of Surgery

Document Type

Article

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