Two-Year Improvement in Multidimensional Body Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index After Nonresectional Lung Volume Reduction.

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Presentation transcript:

Two-Year Improvement in Multidimensional Body Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index After Nonresectional Lung Volume Reduction Surgery in Awake Patients Eugenio Pompeo, MD, Tommaso C. Mineo, MD The Annals of Thoracic Surgery Volume 84, Issue 6, Pages 1862-1869 (December 2007) DOI: 10.1016/j.athoracsur.2007.07.007 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Main operative steps of awake nonresectional lung volume reduction surgery. (A) The most emphysematous lung region targeted for plication is depressed by a cotton swab while the lung edges are grasped by two ring forceps. (B) Afterwards, both lung edges are grasped by a single ring forceps, and a “no knife” endoscopic stapler is fired at the base of the plicated area. (C) The same maneuver is repeated three times along a single ideal line to create a linear but interrupted suture line crossing the lung apex from the ventral segment of the upper lobe back to the dorsal one. The Annals of Thoracic Surgery 2007 84, 1862-1869DOI: (10.1016/j.athoracsur.2007.07.007) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Distribution of preoperative and postoperative BODE index (body mass index, airflow obstruction, dyspnea, and exercise capacity) in awake and control patients. (Baseline, clear bars; 12 months, black bars; 24 months, patterned bars.) The Annals of Thoracic Surgery 2007 84, 1862-1869DOI: (10.1016/j.athoracsur.2007.07.007) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan-Meier curves show predicted freedom from (A) contralateral lung volume reduction surgery (log-rank test p = 0.71) and (B) survival (log-rank test p = 0.52) in control (dotted line) and awake patients (solid line). The Annals of Thoracic Surgery 2007 84, 1862-1869DOI: (10.1016/j.athoracsur.2007.07.007) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions