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Surgical treatment of bullous emphysema
KEY REFERENCES
Surgical Treatment of Bullous Emphysema Jean Deslauriers, MD Thoracic Surgery Division, Laval University, Sainte-Foy, Quebec, Canada
General 1. Knudson RJ, Gaensler EA. Surgen, Ann - , for emphysema. . I Thorac Surg 1965;3:33242. 2. Benfield 1R. Cree EM, Pellett IR. Barbee R. Mendenhall IT, Hickey RC.'Current approach to the surgical managemen; of emphysema. Arch Surg 1966;93:59-70. 3. Sung DT, Payne WS, Black LF. Surgical management of giant bullae associated with obstructive airway disease. Surg Clin North Am 1973;53:91&20. 4. Hugh-Jones P, Whimster W. The etiology and management of disabling emphysema. Am Rev Respir Dis 1978;117 343-78. 5. Snider GL. A perspective on emphysema. Clin Chest Med 1983;4:329-36. 6. Gaensler EA, Cugell DW, Knudson RJ, FitzGerald MX. Surgical management of emphysema. Clin Chest Med 1983; 443-63. 7. Klingman RR, Angelillo VA, DeMeester TR. Cystic and bullous lung disease. Ann Thorac Surg 1991;52:57&80.
Pathophysiology 8. Ogilvie C, Catterall M. Patterns of disturbed lung function in patients with emphysematous bullae. Thorax 1959;14216-24. 9. Stone DJ, Schwartz A, Feltman JA. Bullous emphysema. A long-term study of the natural history and the effects of therapy. Am Rev Respir Dis 1960;82493-507. 10. Ting EY, Klopstock R, Lyons HA. Mechanical properties of pulmonary cysts and bullae. Am Rev Respir Dis 1963;87 538-44. 11. Boushy SF, Kohen R, Billig DM, Heiman MJ. Bullous emphysema: clinical, roentgenologic and physiologic study of 49 patients. Dis Chest 1968;51:17-24. 12. Weitzenblum E. Physiopathologie de l'emphyseme diffus et de l'emphyseme bulleux. Rev Fr Ma1 Respir 1980;8:190-16. 13. Even P, Sors H, Safran D, Reynaud P, Venet A, Debesse B. Hemodynamique des bulles d'emphyseme. Un nouveau syndrome: la tamponade cardiaque emphysemateuse. Rev Fr Ma1 Respir 1980;8:117-20. 14. Thurlbeck WM. Overview of the pathology of pulmonary emphysema in the human. Clin Chest Med 1983;4:337-50. 15. Morgan MDL, Edwards CW, Morns J, Matthews HR. Ongin and behaviour of emphysematous bullae. Thorax 1989;44: 533-8.
Work-up for Operation 19. Tenholder MF, Jones PA, Matthews JI, Hooper RG. Bullous emphysema. Progressive incremental exercise testing to evaluate candidates for bullectomy. Chest 1980;778025. 20. Morgan MDL, Strickland 8. Computed tomography in the assessment of bullous lung disease. Br J Dis Chest 1984;78 10-25. 21. Morgan MDL, Denison DM, Strickland B. Value of computed tomography for selecting patients with bullous lung disease for surgery. Thorax 1986;41:855-62. 22. Gaensler EA, Jederlinic PJ, FitzGerald MX. Patient work-up for bullectomy. J Thorac Imag 1986;1:7593.
Anesthesia and Surgical Techniques 23. Iwa T, Watanabe Y, Fukatani G. Simultaneous bilateral operations for bullous emphysema by median sternotomy. J Thorac Cardiovasc Surg 1981;81:732-7. 24. Lima 0, Ramos L, DiBiasi P, Ludice L, Cooper JD. Median sternotomy for bilateral resection of emphysematous bullae. J Thorac Cardiovasc Surg 1981;82:892-7. 25. Hasenbos MAWM, Gielen MJM. Anaesthesia for bullectomy. A technique with spontaneous ventilation and extradural blockade. Anaesthesia 1985;40:977-80. 26. Benumof JL. Sequential one-lung ventilation for bilateral bullectomy. Anesthesiology 1987;67268-72. 27. Vishnevsky AA, Nickoladze GD. One-stage operation for bilateral bullous lung disease. J Thorac Cardiovasc Surg 1990;99:30-4. 28. Wakabayashi A, Brenner M, Kayaleh RA, et al. Thoracoscopic carbon dioxide laser treatment of bullous emphysema. Lancet 1991;337:881-3.
Intracavitary Suction 29. Monaldi V. Endocavitary aspiration: its practical applications. Tubercle 1947;28:223-8. 30. Macarthur AM, Fountain SW. Intracavity suction and drainage in the treatment of emphysematous bullae. Thorax 1977;32:668-72. 31. Venn GE, Williams PR, Goldstraw P. Intracavity drainage for bullous, emphysematous lung disease: experience with the Brompton technique. Thorax 1988;43:998-1002. 32. Oizumi H, Hoshi E, Aoyama K, et al. Surgery of giant bulla with tube drainage and bronchofiberoptic bronchial occlusion. Ann Thorac Surg 1990;49:824-5.
Complications 16. Mahler DA, DEsopo ND. Pen-emphysematous lung infection. Clin Chest Med 1981;2:51-7. 17. Tsutsui M, Araki Y, Shirakusa T, Inutsuka S. Characteristic radiographic features of pulmonary carcinoma associated with large bulla. Ann Thorac Surg 1988;46:679-83. 18. Tanaka F, Itoh M, Esaki H, Isobe J, Ueno Y, Inoue R. Secondary spontaneous pneumothorax. Ann Thorac Surg 1993;55:3724. Address reprint requests to Dr Deslauriers, Thoracic Surgery Division, Laval University, 2725, chemin Ste-Foy, Sainte-Foy, Que, Canada GIV 4G5.
0 1993 by The Society of Thoracic Surgeons
Results of Operation 33. Fitzpatrick MJ, Kittle CF, Lin TK, Brukardt DT. Prolonged observations of patients with cor pumonale and bullous emphysema after surgical resection. Am Rev Tuberc 1958;77 387-99. 34. Hugh-Jones P, Ritchie BC, Dollery CT. Surgical treatment of emphysema. Br Med J 1966;1:1133-8. 35. Rogers RM, Dubois AB, Blakemore WS. Effect of removal of bullae on airway conductance and conductance volume ratios. J Clin Invest 1968;472569-79. 36. Foreman S, Weill H, Duke R, George R, Ziskind M. Bullous disease of the lung. Physiologic improvement after surgery. Ann Intern Med 1968;69:757-67.
Ann Thorac Surg 1993;56:196-7
0003-4975/93/$6.00
Ann Thorac Surg 193;56196-7
37. Boushy SF, Billig DM, Kohen R. Changes in pulmonary function after bullectomy. Am J Med 1969;47916-23. 38. Pride NB, Hugh-Jones P, OBrien EN, Smith LA. Changes in lung function following the surgical treatment of bullous emphysema. Q J Med 1970;153:4949. 39. Wesley JR, Macleod WM, Mullard KS. Evaluation and surgery of bullous emphysema. J Thorac Cardiovasc Surg 1972; 63:94%55. 40. FitzGerald MX, Keelan PJ, Gaensler EA. Surgery for bullous emphysema. Case report. Respiration 1973;30:187-200. 41. Gunstensen J, McCormack RJM. The surgical management of bullous emphysema. J Thorac Cardiovasc Surg 1973;65: 920-9. 42. Pride NB, Barter CE, Hugh-Jones P. The ventilation of bullae and the effect of their removal on thoracic gas volumes and tests of over-all pulmonary function. Am Rev Respir Dis 1973;107:83-98. 43. FitzGerald MX, Keelan PJ, Cugell DW, Gaensler EA. Longterm results of surgery for bullous emphysema. J Thorac Cardiovasc Surg 1974;68:566-87. 44. Witz JP, Roeslin N. La chirurgie de I'emphys6me bulleux
KEY REFERENCES
DESLAUNERS BULLOUS EMPHYSEMA
45. 46. 47. 48. 49.
197
chez l'adulte. Ses resultats eloignes. Rev Fr Ma1 Respir 1980;8:121-31. Potgieter PD, Benatar SR, Hewitson RP, Ferguson AD. Surgical treatment of bullous lung disease. Thorax 1981;36: 88590. Nakahara K, Nakaoka K, Ohno K, et al. Functional indications for bullectomy of giant bulla. Ann Thorac Surg 1983;35: 480-7. Laros CD, Gelissen HJ, Bergstein PGM, et al. Bullectomy for giant bullae in emphysema. J Thorac Cardiovasc Surg 1986; 91:63-70. Connolly JE, Wilson A. The current status of surgery for bullous emphysema. J Thorac Cardiovasc Surg 1989;97 351-61. Ribet ME. Cystic and bullous lung disease [Letter]. Ann Thorac Surg 1992;53:1147.
Transplantation 50. Kaiser LR, Cooper JD, Trulock EP, et al. The evolution of single lung transplantation for emphysema. J Thorac Cardiovasc Surg 1991;102:33341.
Surgical Treatment of Bullous Emphysema Jean Deslauriers, MD Thoracic Surgery Division, Laval University, Sainte-Foy, Quebec, Canada
General 1. Knudson RJ, Gaensler EA. Surgen, Ann - , for emphysema. . I Thorac Surg 1965;3:33242. 2. Benfield 1R. Cree EM, Pellett IR. Barbee R. Mendenhall IT, Hickey RC.'Current approach to the surgical managemen; of emphysema. Arch Surg 1966;93:59-70. 3. Sung DT, Payne WS, Black LF. Surgical management of giant bullae associated with obstructive airway disease. Surg Clin North Am 1973;53:91&20. 4. Hugh-Jones P, Whimster W. The etiology and management of disabling emphysema. Am Rev Respir Dis 1978;117 343-78. 5. Snider GL. A perspective on emphysema. Clin Chest Med 1983;4:329-36. 6. Gaensler EA, Cugell DW, Knudson RJ, FitzGerald MX. Surgical management of emphysema. Clin Chest Med 1983; 443-63. 7. Klingman RR, Angelillo VA, DeMeester TR. Cystic and bullous lung disease. Ann Thorac Surg 1991;52:57&80.
Pathophysiology 8. Ogilvie C, Catterall M. Patterns of disturbed lung function in patients with emphysematous bullae. Thorax 1959;14216-24. 9. Stone DJ, Schwartz A, Feltman JA. Bullous emphysema. A long-term study of the natural history and the effects of therapy. Am Rev Respir Dis 1960;82493-507. 10. Ting EY, Klopstock R, Lyons HA. Mechanical properties of pulmonary cysts and bullae. Am Rev Respir Dis 1963;87 538-44. 11. Boushy SF, Kohen R, Billig DM, Heiman MJ. Bullous emphysema: clinical, roentgenologic and physiologic study of 49 patients. Dis Chest 1968;51:17-24. 12. Weitzenblum E. Physiopathologie de l'emphyseme diffus et de l'emphyseme bulleux. Rev Fr Ma1 Respir 1980;8:190-16. 13. Even P, Sors H, Safran D, Reynaud P, Venet A, Debesse B. Hemodynamique des bulles d'emphyseme. Un nouveau syndrome: la tamponade cardiaque emphysemateuse. Rev Fr Ma1 Respir 1980;8:117-20. 14. Thurlbeck WM. Overview of the pathology of pulmonary emphysema in the human. Clin Chest Med 1983;4:337-50. 15. Morgan MDL, Edwards CW, Morns J, Matthews HR. Ongin and behaviour of emphysematous bullae. Thorax 1989;44: 533-8.
Work-up for Operation 19. Tenholder MF, Jones PA, Matthews JI, Hooper RG. Bullous emphysema. Progressive incremental exercise testing to evaluate candidates for bullectomy. Chest 1980;778025. 20. Morgan MDL, Strickland 8. Computed tomography in the assessment of bullous lung disease. Br J Dis Chest 1984;78 10-25. 21. Morgan MDL, Denison DM, Strickland B. Value of computed tomography for selecting patients with bullous lung disease for surgery. Thorax 1986;41:855-62. 22. Gaensler EA, Jederlinic PJ, FitzGerald MX. Patient work-up for bullectomy. J Thorac Imag 1986;1:7593.
Anesthesia and Surgical Techniques 23. Iwa T, Watanabe Y, Fukatani G. Simultaneous bilateral operations for bullous emphysema by median sternotomy. J Thorac Cardiovasc Surg 1981;81:732-7. 24. Lima 0, Ramos L, DiBiasi P, Ludice L, Cooper JD. Median sternotomy for bilateral resection of emphysematous bullae. J Thorac Cardiovasc Surg 1981;82:892-7. 25. Hasenbos MAWM, Gielen MJM. Anaesthesia for bullectomy. A technique with spontaneous ventilation and extradural blockade. Anaesthesia 1985;40:977-80. 26. Benumof JL. Sequential one-lung ventilation for bilateral bullectomy. Anesthesiology 1987;67268-72. 27. Vishnevsky AA, Nickoladze GD. One-stage operation for bilateral bullous lung disease. J Thorac Cardiovasc Surg 1990;99:30-4. 28. Wakabayashi A, Brenner M, Kayaleh RA, et al. Thoracoscopic carbon dioxide laser treatment of bullous emphysema. Lancet 1991;337:881-3.
Intracavitary Suction 29. Monaldi V. Endocavitary aspiration: its practical applications. Tubercle 1947;28:223-8. 30. Macarthur AM, Fountain SW. Intracavity suction and drainage in the treatment of emphysematous bullae. Thorax 1977;32:668-72. 31. Venn GE, Williams PR, Goldstraw P. Intracavity drainage for bullous, emphysematous lung disease: experience with the Brompton technique. Thorax 1988;43:998-1002. 32. Oizumi H, Hoshi E, Aoyama K, et al. Surgery of giant bulla with tube drainage and bronchofiberoptic bronchial occlusion. Ann Thorac Surg 1990;49:824-5.
Complications 16. Mahler DA, DEsopo ND. Pen-emphysematous lung infection. Clin Chest Med 1981;2:51-7. 17. Tsutsui M, Araki Y, Shirakusa T, Inutsuka S. Characteristic radiographic features of pulmonary carcinoma associated with large bulla. Ann Thorac Surg 1988;46:679-83. 18. Tanaka F, Itoh M, Esaki H, Isobe J, Ueno Y, Inoue R. Secondary spontaneous pneumothorax. Ann Thorac Surg 1993;55:3724. Address reprint requests to Dr Deslauriers, Thoracic Surgery Division, Laval University, 2725, chemin Ste-Foy, Sainte-Foy, Que, Canada GIV 4G5.
0 1993 by The Society of Thoracic Surgeons
Results of Operation 33. Fitzpatrick MJ, Kittle CF, Lin TK, Brukardt DT. Prolonged observations of patients with cor pumonale and bullous emphysema after surgical resection. Am Rev Tuberc 1958;77 387-99. 34. Hugh-Jones P, Ritchie BC, Dollery CT. Surgical treatment of emphysema. Br Med J 1966;1:1133-8. 35. Rogers RM, Dubois AB, Blakemore WS. Effect of removal of bullae on airway conductance and conductance volume ratios. J Clin Invest 1968;472569-79. 36. Foreman S, Weill H, Duke R, George R, Ziskind M. Bullous disease of the lung. Physiologic improvement after surgery. Ann Intern Med 1968;69:757-67.
Ann Thorac Surg 1993;56:196-7
0003-4975/93/$6.00
Ann Thorac Surg 193;56196-7
37. Boushy SF, Billig DM, Kohen R. Changes in pulmonary function after bullectomy. Am J Med 1969;47916-23. 38. Pride NB, Hugh-Jones P, OBrien EN, Smith LA. Changes in lung function following the surgical treatment of bullous emphysema. Q J Med 1970;153:4949. 39. Wesley JR, Macleod WM, Mullard KS. Evaluation and surgery of bullous emphysema. J Thorac Cardiovasc Surg 1972; 63:94%55. 40. FitzGerald MX, Keelan PJ, Gaensler EA. Surgery for bullous emphysema. Case report. Respiration 1973;30:187-200. 41. Gunstensen J, McCormack RJM. The surgical management of bullous emphysema. J Thorac Cardiovasc Surg 1973;65: 920-9. 42. Pride NB, Barter CE, Hugh-Jones P. The ventilation of bullae and the effect of their removal on thoracic gas volumes and tests of over-all pulmonary function. Am Rev Respir Dis 1973;107:83-98. 43. FitzGerald MX, Keelan PJ, Cugell DW, Gaensler EA. Longterm results of surgery for bullous emphysema. J Thorac Cardiovasc Surg 1974;68:566-87. 44. Witz JP, Roeslin N. La chirurgie de I'emphys6me bulleux
KEY REFERENCES
DESLAUNERS BULLOUS EMPHYSEMA
45. 46. 47. 48. 49.
197
chez l'adulte. Ses resultats eloignes. Rev Fr Ma1 Respir 1980;8:121-31. Potgieter PD, Benatar SR, Hewitson RP, Ferguson AD. Surgical treatment of bullous lung disease. Thorax 1981;36: 88590. Nakahara K, Nakaoka K, Ohno K, et al. Functional indications for bullectomy of giant bulla. Ann Thorac Surg 1983;35: 480-7. Laros CD, Gelissen HJ, Bergstein PGM, et al. Bullectomy for giant bullae in emphysema. J Thorac Cardiovasc Surg 1986; 91:63-70. Connolly JE, Wilson A. The current status of surgery for bullous emphysema. J Thorac Cardiovasc Surg 1989;97 351-61. Ribet ME. Cystic and bullous lung disease [Letter]. Ann Thorac Surg 1992;53:1147.
Transplantation 50. Kaiser LR, Cooper JD, Trulock EP, et al. The evolution of single lung transplantation for emphysema. J Thorac Cardiovasc Surg 1991;102:33341.