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Papers of the Week

2021 May

Thorac Surg Clin



Technical Aspects of Lung Volume Reduction Surgery Including Anesthetic Management and Surgical Approaches.


Lemaitre PH, Stanifer B P, Sonett JR, Ginsburg ME
Thorac Surg Clin. 2021 May; 31(2):129-137.
PMID: 33926667.


As palliative treatment, lung volume reduction surgery can be offered to a selected subset of chronic obstructive pulmonary disease patients. Careful adherence to established inclusion and exclusion criteria is critical to achieve good outcomes. The evolution of surgical techniques toward minimally invasive approaches has improved outcomes. The fully extrathoracic access combining a subxiphoid incision with subcostal port placement allowed a further decrease in perioperative pain, which favors spontaneous respiratory drive and early postoperative mobilization. Less aggressive resections and better match for size of the hemithorax have contributed to a short-term reduction in morbidity and continued improvements in cardiopulmonary function.