A systematic review of lung volume reduction surgery (update and re-appraisal)

Babidge W, et al
Record ID 32002000393
English
Authors' objectives: To assess the available evidence on lung volume reduction surgery (LVRS) for emphysema.
Authors' results and conclusions: No one technique appeared to be the safest and most efficacious for LVRS and the studies to date suffer from considerable loss to follow-up and insufficiently long follow-up periods. The evidence suggests that both bilateral and unilateral LVRS using stapling-excision and median sternotomy, in highly selected cases, are safe and reasonably efficacious procedures for the treatment of diffuse emphysema. Similar results have been obtained using VATS and stapling excision. Laser ablation by VATS, despite producing encouraging results in bullous emphysema, produced higher one-year mortality, frequent late pneumothorax and less functional improvement than stapling-excision in diffuse emphysema. This procedure is not recommended as a safe and efficacious treatment for diffuse emphysema at the present time.
Authors' recommendations: No one technique appeared to be the safest and most efficacious for LVRS and the studies to date suffer from considerable loss to follow-up and insufficiently long follow-up periods. The evidence suggests that both bilateral and unilateral LVRS using stapling-excision and median sternotomy, in highly selected cases, are safe and reasonably efficacious procedures for the treatment of diffuse emphysema. Similar results have been obtained using VATS and stapling excision. Laser ablation by VATS, despite producing encouraging results in bullous emphysema, produced higher one-year mortality, frequent late pneumothorax and less functional improvement than stapling-excision in diffuse emphysema. This procedure is not recommended as a safe and efficacious treatment for diffuse emphysema at the present time.
Authors' methods: Systematic review
Details
Project Status: Completed
Year Published: 2000
URL for published report: n/a
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Pneumonectomy
  • Emphysema
  • Pulmonary Emphysema
  • Bronchoscopy
  • Pulmonary Disease, Chronic Obstructive
Contact
Organisation Name: Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address: ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name: racs.asernip@surgeons.org
Contact Email: racs.asernip@surgeons.org
Copyright: Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.