This report describes a nonintubated, bilateral thoracoscopic redo lung volume reduction surgery procedure through a single subxiphoid access in a patient who previously underwent one-stage bilateral volume reduction for upper lobe-predominant heterogeneous emphysema 19 years earlier. The patient was uneventfully discharged on postoperative day 2, and meaningful improvement in respiratory function and exercise tolerance occurred at 3 months postoperatively. This novel surgical approach may merge the potential benefits of a subxiphoid incision for bilateral treatment, non-intercostal passage of chest drains, and adoption of a nonintubated anesthesia protocol. (C) 2018 by The Society of Thoracic Surgeons.
Elkhouly, A., Pompeo, E. (2018). Nonintubated Subxiphoid Bilateral Redo Lung Volume Reduction Surgery. ANNALS OF THORACIC SURGERY, 106(5), e277-e279 [10.1016/j.athoracsur.2018.04.061].
Nonintubated Subxiphoid Bilateral Redo Lung Volume Reduction Surgery
Pompeo E.
Writing – Review & Editing
2018-01-01
Abstract
This report describes a nonintubated, bilateral thoracoscopic redo lung volume reduction surgery procedure through a single subxiphoid access in a patient who previously underwent one-stage bilateral volume reduction for upper lobe-predominant heterogeneous emphysema 19 years earlier. The patient was uneventfully discharged on postoperative day 2, and meaningful improvement in respiratory function and exercise tolerance occurred at 3 months postoperatively. This novel surgical approach may merge the potential benefits of a subxiphoid incision for bilateral treatment, non-intercostal passage of chest drains, and adoption of a nonintubated anesthesia protocol. (C) 2018 by The Society of Thoracic Surgeons.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
