Original articleSurgical treatment of bullous emphysema: Experience with the brompton technique
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Cited by (38)
Thoracoscopic Treatment of Giant Pulmonary Bullae
2019, Journal of Surgical ResearchCitation Excerpt :Surgical resection is an effective way to treat GPB and leads to improvements in both symptoms and lung function. Bullectomy, lobectomy, and lung volume reduction are common approaches to the resection of giant bullae, traditionally performed through open thoracotomy.16-21 However, VATS has been a preferred approach to the treatment of GPB because it is far less invasive or painful and equally effective compared with open surgery5-11.
Noninvasive ventilation and lung volume reduction
2014, Clinics in Chest MedicineCitation Excerpt :Randomized controlled trials of giant bullectomy have not been performed. An alternative approach for frail patients with large single bullae is the Monaldi procedure (Table 1).69 Brantigan70 described unilateral thoracotomy and resection of the most diseased-appearing portion of emphysematous lungs coupled with lung denervation in 33 patients in 1957.
Medical pneumoplasty, surgical resection, or lung transplant
2012, Medical Clinics of North AmericaCitation Excerpt :The postoperative mortality rate from published reports ranges from 0% to 22.5% with a weighted mean of 8.0%. In a contemporary report on long-term outcome following bullectomy, the 1-, 3-, and 5-year survival was 97.7%, 92.1%, and 88.5%, respectively.18,19,21–23 Postoperative imaging showed no evidence of recurrence of the giant bullae or progressive enlargement of surrounding small bullae after surgery.
Pneumothorax, bullous disease, and emphysema
2010, Surgical Clinics of North AmericaCitation Excerpt :Endocavitary drainage of giant bullae offers a limited surgical approach that avoids resection of underlying lung while providing symptomatic relief and functional improvement. Most investigators reserve this treatment for patients who would not otherwise tolerate a thoracotomy,68 but some advocate it as the first surgical choice for any patient with a giant bullae.69 Symptomatic improvement has been reported in 80% to 100% of postoperative patients in numerous studies.39,70–74
Unilateral Extrapulmonary Airway Bypass in Advanced Emphysema
2010, Annals of Thoracic SurgeryReply
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