Single lung transplantation with concomitant contralateral lung volume reduction for end- stage emphysema / 南方医科大学学报
Journal of Southern Medical University
; (12): 895-896, 2007.
Article
in Zh
| WPRIM
| ID: wpr-337358
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effect of single lung transplantation with concomitant contralateral lung volume reduction surgery (LVRS) for the management of end-stage emphysema.</p><p><b>METHODS</b>A 46 year-old patient with end-stage emphysema received right lung transplantation and LVRS through the bilateral anterior-lateral intercostal incisions simultaneously.</p><p><b>RESULTS</b>Hyperinflation of the native lung or mediastinal shift did not occur after the operation, and the transplanted right lung dilated well without suppression. Acute rejection was not observed and the patient weaned from tracheal intubation 60 h after operation and from ventilator 108 h postoperatively. Persistent air leak occurred after LVRS but closed after instillation of hyperosmotic glucose. The patient was discharged 45 days after operation with significantly improved pulmonary function and normal life.</p><p><b>CONCLUSION</b>Single lung transplantation with concomitant contralateral lung volume reduction for emphysema eliminates such complications of single lung transplantation as native lung hyperinflation, mediastinal shift, excessive suppression of the transplanted lung and hemodynamics instability, and can improve the success rate of the operation.</p>
Full text:
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Index:
WPRIM
Main subject:
Pathology
/
Pulmonary Emphysema
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General Surgery
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Lung Transplantation
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Treatment Outcome
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Combined Modality Therapy
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Lung
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Methods
Limits:
Humans
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Male
Language:
Zh
Journal:
Journal of Southern Medical University
Year:
2007
Type:
Article