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Vol. 33. Issue 8.
Pages 418-421 (September 1997)
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Vol. 33. Issue 8.
Pages 418-421 (September 1997)
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Neumorreducción en el tratamiento del enfisema: resultados preliminares
Lung volume reduction for emphysema: preliminary findings
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G. Juan*,1, C. Pérez*, J.M. Galbis**, A. Arnau**, M. Ramón*, A. Cantó**
* Servicios de Neumología, Hospital General Universitario de Valencia.
** Servicios de Neumología, Cirugía Torácica. Hospital General Universitario de Valencia.
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Se presentan los resultados de las primeras 3 neumorre-ducciones que se han realizado en nuestro hospital como tratamiento paliativo del enfisema pulmonar. Se resecó el tercio superior del LSD y parte del medio en 2 pacientes y se hizo lobectomía superior derecha en el otro. Se utilizó autosutura recubierta de goretex, se hizo pleurodesis con talco del tercio superior del hemitórax y se colocaron drenajes con aspiración a -5cmH2O. Se resalta lo evolucionados que estaban los pacientes y los buenos resultados obtenidos en cuanto a mortalidad, estancia hospitalaria y mejoría funcional y clínica. Se propone considerar la mejoría que produce la neumorreducción, cuando se valore funcionalmente un paciente con cáncer, si la zana a resecar es enfisematosa.

Palabras clave:
Neumorreducción
Tratamiento del enfisema
Valoración funcional en la cirugía de resección pulmonar

The results of the first three pulmonary reduction operations performed at our hospital for the palliative treatment of pulmonary emphysema are described. The upper third of the upper right lobe and part of the middie lobe were resected in two patients. An upper right lobectomy was performed on the third. Goretex coated autosutures were used and pleurosis was performed with talcum on the upper third of the hemithorax. Drains with -5cmH2O suction were inserted. We emphasize the advance stage of disease of the three patients and the good outcomes observed in terms of survival, hospital stay and improvement in lung function and symptoms. We discuss the functional improvement resulting from lung reduction in cancer patients if the resected area is emphysematous.

Key words:
Lung reduction
Emphysema
treatment
Lung function assessment after resection
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Bibliografía
[1.]
D.R. Dantzker, S. Scharf.
Surgery to reduce lung volume.
N Engl J Med, 334 (1996), pp. 1.128-1.129
[2.]
O.C. Brantigan, E. Mueller.
Surgical treatment of pulmonary emphysema.
Am Surg, 23 (1957), pp. 789-804
[3.]
J. Cooper, G. Patterson.
Lung volume reduction surgery for severe emphysema.
Seminars in thoracic and cardiovascular surgery, 8 (1996), pp. 52-60
[4.]
D.A. Mahler.
The measurement of dysnea: contents, interobserver agreement and physiologic correlats of two clinical indexes.
Chest, 85 (1984), pp. 751-758
[5.]
F.C. Sciurba, R.M. Rogers, R.J. Keenan, W.A. Slivka, J. Gorcsan, P.F. Ferson, et al.
Improvement in pulmonary function and elastic recoil after lung-reduction surgery for diffuse emphysema.
N Engl J Med, 334 (1996), pp. 1.095-1.099
[6.]
K. Naunheim, M.K. Ferguson.
The current status of lung volume reduction operations for emphysema.
Ann Thorac Surg, 62 (1996), pp. 601-612
[7.]
J. Travaline, P. Addonizio, G.J. Criner.
Effect of bullectomy on diaphragm strength.
Am J Respir Crit Care Med, 152 (1995), pp. 1.697-1.701
[8.]
M. Dahan, F. Salerin, J. Berjaud, J. Renella, J. Gaillart.
Interet de 1’exploration hemodynamic dans les indications chirurgicales des emphysemes.
Ann Chir, 43 (1989), pp. 669-672
[9.]
A. Wakabashi.
Thoracoscopic laser pneumoplasty in the treatment of diffuse bullous emphysema.
Ann Thorac Surg, 60 (1995), pp. 936-942
[10.]
M. Bergner, R. Robbitt, W. Pollard, D.P. Martin, B. Gilson.
The sickness impact profile: validation of a health measure.
Medical Care, 14 (1976), pp. 57-67
[11.]
G. Snider.
Health-care technology assessment of surgical procedures The case of reduction pneumoplasty for emphysema.
Am J Respir Crit Care Med, 153 (1996), pp. 1.208-1.213
Copyright © 1997. Sociedad Española de Neumología y Cirugía Torácica
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