Open AccessCombined Thoracoscopic Surgical Stapling and Endobronchial Valve Placement For Lung Volume Reduction With Incomplete Lobar Fissures
Author(s) -
Adnan Majid,
Fayez Kheir,
Daniel Alape,
Alex Chee,
Mihir Parikh,
Lauri DeVore,
A. Agnew,
Sidhu P. Gangadharan
Publication year - 2020
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.648
H-Index - 33
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0000000000000617
Subject(s) - medicine , atelectasis , bronchoscopy , surgery , perioperative , lung , lung volume reduction surgery , radiology , pneumonectomy , lung volumes
In patients with severe emphysema and complete fissures, bronchoscopic lung volume reduction with valves reduces target lobe volume providing improvement in respiratory symptoms, lung function, quality of life, and exercise capacity. It is estimated that up to 88% of patients with emphysema have at least 1 incomplete interlobar fissure. The aim of this study was to evaluate the feasibility of creating a complete fissure with stapling via minimally invasive video-assisted thoracoscopic surgery (VATS) followed by bronchoscopic valve placement to induce lobar collapse in a swine model.