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Ann Thorac Surg 1997;63:1807-1809
© 1997 The Society of Thoracic Surgeons

How To Do It

Single-Stage Bilateral, Video-Assisted Thoracoscopic Lung Volume Reduction Operation

Wickii T. Vigneswaran, MD, Francis J. Podbielski, MD

Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Illinois

Accepted for publication January 13, 1997.

Lung volume reduction (LVR) produces significant clinical and objective improvement in selected patients with diffuse emphysema. Unilateral and bilateral approaches have been successfully employed. A median sternotomy approach is the standard for bilateral LVR, whereas video-assisted thoracoscopy has been used to perform unilateral LVR. Encouraging video-assisted thoracoscopic results with sequential, staged, bilateral LVR have been shown. This report describes an alternate technique of single-stage, bilateral LVR for end-stage emphysema.




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