Nonintubated Subxiphoid Bilateral Redo Lung Volume Reduction Surgery.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29803691.
- Also identified by DOI 10.1016/j.athoracsur.2018.04.061.
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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, nonintercostal passage of chest drains, and adoption of a nonintubated anesthesia protocol.
Medical subject headings
- Pulmonary Emphysema
- Reoperation
- Thoracic Surgery, Video-Assisted