Lung emphysema, chronic obstructive pulmonary disease Respiratory Emphysema, unspecified
Conditions
Interventions
Bilateral lung-volume-reduction-surgery (LVRS) by video-assisted thoracic surgery (VATS) with use of powered versus non-powered Endopath stapler from Echelon for left or right side of the lung. Before
Sponsors
University Hospital Basel
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult patients with non-bullous pulmonary emphysema were included when they were severely symptomatic despite optimal medical therapy 2. Had severe air flow obstruction (forced expiratory volume in 1 second (FEV1) of 40% of predicted value) 3. Had pulmonary hyperinflation (residual volume (RV) of 200% of predicted value, RV/total lung capacity of 0.60) 4. Minimum age of 18 years 5. Able to consent and indication for bilateral LVRS with a signed informant consent
Exclusion criteria
Exclusion criteria: 1. Patients with bullous pulmonary emphysema 2. Severely impaired carbon dioxide diffusing capacity (20% of predicted value) 3. Significant coronary artery disease 4. Under age of 18 years 5. Persons unable to consent and without a signed informant consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Incidence and volume of air leaks 2. Duration of chest tube drainage of the each side | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Duration and volume of air leak postoperative as well as twice a day, each morning and each afternoon until removal of the chest tubes 2. Operative time, and postoperative complications grade e.g. necessity of reoperation, hospitalisations time | — |
Countries
Switzerland
Outcome results
None listed