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Ann Thorac Surg 2000;70:946-947
© 2000 The Society of Thoracic Surgeons

Discussion

Discussion

Discussion

DR WALTER Weder (Zurich, Switzerland): Congratulations for bringing this interesting concept to our attention.

I was wondering how the patients tolerated the pneumoperitoneum in terms of dyspnea. Did you measure dyspnea scores?

Additionally, would you recommend performing this technique in a patient with a limited lung function especially with restrictive disease?

DR CERFOLIO: The answer to your first question is, no, we did not measure dyspnea scores.

The answer to your second question, is it actually was not in a conclusion or a summary slide but rather a slide entitled "Future Study." That slide suggested that perhaps there may be some role to create a pneumoperitoneum in the patient with poor pulmonary function. I don’t know about restrictive disease, but certainly in patients who have emphysema. Some surgeons I know will create a pneumoperitoneum to see if the patient is a candidate for lung volume reduction surgery. They believe that if you can temporarily elevate the hemidiaphragm, and their dyspnea resolves, they may do well with lung volume reduction surgery.

I appreciate your questions. Thank you.

DR DANIEL S. RENNER (Cleveland, OH): Have you had any experience doing this after an upper and middle lobectomy? In my experience, I’ve had just as much problem with that type of bilobectomy . . . [Full Text of this Article]


Related Article

Pneumoperitoneum after concomitant resection of the right middle and lower lobes (bilobectomy)
Robert J. Cerfolio, William L. Holman, and Charles R. Katholi
Ann. Thorac. Surg. 2000 70: 942-946. [Abstract] [Full Text] [PDF]





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