Lung volume reduction surgery results in pulmonary emphysema

Changes in pulmonary function
  • Yasuteru Yoshinaga
  • Akinori Iwasaki
  • Katsunobu Kawahara
  • Takayuki Shirakusa
Original Article


From December 1993 to August 1998, we conducted 57 lung volume reduction surgeries on patients with severe pulmonary emphysema but without giant bullae. Of these, 26 underwent unilateral lung volume reduction surgery and 31 bilateral surgery. We analyzed the results of thoracoscopic lung volume reduction surgery (unilateral: 25; bilateral: 16) and volume reduction surgery by median sternotomy (unilateral: 1; bilateral: 15). Bilateral surgery via thoracoscope and median sternotomy significantly improved symptoms and pulmonary functions; mean improvement in forced expiratory volume in 1 second was 42.4% for bilateral thoracoscopic volume reduction surgery and 60.0% for median sternotomy. Unilateral volume reduction surgery produced a mean improvement in forced expiratory volume in 1 second of 28.9%. No significant complications were seen with either procedure. Reevaluation at 1 and 2 years after lung volume reduction surgery showed improvement to be well maintained.

Index words

volume reduction surgery emphysema 


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Copyright information

© The Japanese Society of Thoracic and Cadiovascular Surgery 1999

Authors and Affiliations

  • Yasuteru Yoshinaga
    • 1
  • Akinori Iwasaki
    • 1
  • Katsunobu Kawahara
    • 1
  • Takayuki Shirakusa
    • 1
  1. 1.Second Department of Surgery, School of MedicineFukuoka UniversityFukuokaJapan

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