Lung Volume Reduction Surgery

Description

Lung volume reduction surgery (LVRS) as a treatment for end-stage pulmonary emphysema has inspired enthusiasm, controversy, and confusion. In Lung Volume Reduction Surgery, a panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to LVRS for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical trials and results in LVRS, and the effects of LVRS on survival rates. Background material addresses the clinical and basic science aspects of emphysema, including its pathogenesis and pathophysiology, its cardiovascular effects, its medical management, and its evaluation with exercise testing. Comprehensive and cutting-edge, Lung Volume Reduction Surgery offers pulmonologists, thoracic surgeons, and internists an authoritative survey of the state-of-the-art in pulmonary emphysema-its measurement, its causes, and its diagnosis-as well as the revolutionary emergence of lung volume reduction surgery and its management today. Front Matter....Pages i-xii Front Matter....Pages 1-1 The Pathogenesis and Pathophysiology of Emphysema....Pages 3-14 Cardiopulmonary Exercise Testing in the Evaluation of the Patient with Emphysema....Pages 15-27 Cardiovascular Effects of Emphysema....Pages 29-56 Radiologic Assessment of Emphysema in LVRS Candidates....Pages 57-80 Medical Management of Emphysema and Chronic Obstructive Pulmonary Disease....Pages 81-96 Pulmonary Rehabilitation in Severe Emphysema....Pages 97-123 Front Matter....Pages 125-125 The History of Surgery for Emphysema....Pages 127-137 Lung Volume Reduction Surgery....Pages 139-148 Lung Volume Reduction Surgery....Pages 149-157 Anesthetic Management of the Patient Undergoing Lung Volume Reduction Surgery....Pages 159-168 Perioperative and Nursing Care of the LVRS Patient....Pages 169-180 Selection of Candidates for Lung Volume Reduction Surgery....Pages 181-194 Clinical Results and Clinical Trials in Lung Volume Reduction Surgery....Pages 195-208 Effects of Lung Volume Reduction Surgery on Survival in Patients with Advanced Emphysema....Pages 209-223 Management of the Patient with Lung Cancer and Severe Emphysema....Pages 225-235 Lung Transplantation and LVRS in the Treatment of Advanced Emphysema....Pages 237-264 Back Matter....Pages 265-273