The Clinical Experience In The Treatment Of Late-stage Emphysema By Lung Volume Reduction Surgery(LVRS)

Objective : To summarize the clinical experience in the treatment of late- stage emphysema by lung volume reduction surgery(LVRS).Methods : The follow-up date of 22 patients with severe emphysema underwent LVRS were analyzed retrospectively between May 2009 to December 2010, All the LVES with Pair trachea cannula, The general anesthesia, ALL with the one-sided surgery, 17 LVES with VATS or VATS assited surgery, 5 LVES with standard, flank margin surgery. The destructive and dysfunction pulmonary tissue by linear stapler cut and gives the biological protein adhesive trap needle eye.Results:After the LVRS, non-spontaneous pneumothorax recrudescence, non-surgery death. The scant of breath symptom reduces obviously, after the LVRS, before in March examines the courage vigor analysis to compare the LVRS, the artery blood oxygen partial pressure to rise 17mmHg, FEV1 to increase 57%, RV equally to drop 40%, TLC to drop 10%.Conclusions : The LVRS is a security, effectively the method treats the later period pulmonary emphysema, 22 example patient non-surgery death, after the surgery, the pulmonary emphysema patient's subjective symptom and the lung function target have the distinct improvement. The VATS allows the surgery wound to be small, the pain light, restores the cosmetology effect to be good, obtains the patient and doctor's favor gradually, but because lacks the consummation, long-term and the big sample revisit material, the curative effect as well as the duration analysis regarding the lung of LVES waits for further studying.