Kermenli Tayfun, Azar Cebrail
Department of Thoracic Surgery, Istanbul Aydın University, Istanbul, Turkey.
Department of Chest Diseases, Medicalpark Elazığ Hospital, Elazığ, Turkey.
Kardiochir Torakochirurgia Pol. 2020 Sep;17(3):127-131. doi: 10.5114/kitp.2020.99075. Epub 2020 Sep 23.
In our study, we aimed to evaluate the results of patients who underwent lung volume reduction surgery with video-assisted thoracoscopic surgery due to diffuse or upper lobe limited emphysema.
Patients who underwent lung volume reduction surgery (LVRS) for emphysema in our clinic between March 2015 and January 2020 were included in the study. The files of the patients were evaluated retrospectively. Age, gender, smoking history, hospitalization time, drain removal time, complications, and postoperative pulmonary function test values were evaluated in the patient records.
Twenty-four of the patients were male and 2 were female. The average age was determined as 49.6. Twenty-six patients underwent 31 surgical procedures, 5 of which were bilateral. Twenty-seven of them were performed by videothoracoscopic LVRS. Preoperative mean forced expiratory volume in 1 s (FEV) value was 32.7%, total lung capacity 132%, residual volume 280%. The average length of hospital stay was found to be 7.75 days (4-19), and the time to remove the thorax drain was 9.5 (4-23) days. FEV: 1.78 (48.5%) was found in the pulmonary function tests of the patients at the 6 month postoperative controls. According to preoperative FEV, 48.3% improvement was detected.
Volume reduction surgery is a treatment method that positively affects the natural course of emphysema in addition to quitting smoking and oxygen therapy. Patients with predominantly emphysema in the upper lobes, low exercise capacity, and appropriate FEV values benefited most from this treatment.
在我们的研究中，我们旨在评估因弥漫性或上叶局限性肺气肿而接受电视辅助胸腔镜手术肺减容术的患者的结果。
纳入2015年3月至2020年1月在我们诊所因肺气肿接受肺减容手术（LVRS）的患者。对患者的病历进行回顾性评估。在患者记录中评估年龄、性别、吸烟史、住院时间、引流管拔除时间、并发症及术后肺功能测试值。
24例患者为男性，2例为女性。平均年龄确定为49.6岁。26例患者接受了31次手术，其中5次为双侧手术。其中27次手术通过电视胸腔镜LVRS进行。术前1秒用力呼气容积（FEV）平均值为32.7%，肺总量为132%，残气量为280%。发现平均住院时间为7.75天（4 - 19天），胸腔引流管拔除时间为9.5天（4 - 23天）。在术后6个月的对照中，患者的肺功能测试中FEV：1.78（48.5%）。与术前FEV相比，改善了48.3%。
除戒烟和氧疗外，肺减容手术是一种对肺气肿自然病程有积极影响的治疗方法。上叶为主的肺气肿、运动能力低且FEV值合适的患者从该治疗中获益最大。
