Surgical Management of Benign Lung Disease, An Issue of Thoracic Surgery Clinics

1st Edition, Volume 31-2 - May 13, 2021
Editors: Stephen R. Hazelrigg, Traves Crabtree
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 3 4 5 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 3 4 6 - 9

This issue of Thoracic Surgery Clinics, guest edited by Drs. Stephen Hazelrigg and Traves Crabtree, is devoted to Surgical Management of Benign Lung Disease. Drs. Hazelrigg and… Read more

Surgical Management of Benign Lung Disease, An Issue of Thoracic Surgery Clinics

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This issue of Thoracic Surgery Clinics, guest edited by Drs. Stephen Hazelrigg and Traves Crabtree, is devoted to Surgical Management of Benign Lung Disease. Drs. Hazelrigg and Crabtree have assembled expert authors to review the following topics: Evaluation of the emphysema patient: Best medical treatment and indications for surgical intervention; Life expectancy after lung volume reduction surgery; Analysis of recent literature on lung volume reduction surgery; Present role of endobronchial valves in emphysema treatment; Critical Analysis of the National Emphysema Treatment Trial Results for Lung-Volume-Reduction Surgery; Technical aspects of LVRS including anesthetic management and surgical approaches; Future treatment of emphysema with roles for valves and LVRS; Alpha one antitrypsin disease, treatment and role for lung volume reduction surgery; Postoperative Air-Leaks after Lung Surgery: Predictors, Intraoperative Techniques, and Postoperative Management; Value of a multidisciplinary team approach to treatment of emphysema; Economic considerations with endobronchial valves and lung volume reduction surgery; Outcomes of lung volume reduction surgery in homogenous emphysema; and more!

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Systemic Medications in Chronic Obstructive Pulmonary Disease: Use and Outcomes
Key points
Introduction
Oral beta2-adrenergic agonists
Xanthines, theophylline
Phosphodiesterase 4 inhibitors
Macrolides and other antibiotics
Mucomodifiers
Oral corticosteroids
Antileukotrienes
Cardiovascular/metabolic treatments
Biologics
Alpha1-antitrypsin augmentation therapy
Systemic treatments for dyspnea
Summary
Critical Analysis of the National Emphysema Treatment Trial Results for Lung-Volume-Reduction Surgery
Key points
Introduction
National Emphysema Treatment Trial
Primary outcomes
Secondary outcomes
Clinics care points
Analysis of Recent Literature on Lung Volume Reduction Surgery
Key points
Introduction: the National Emphysema Treatment Trial
Physiologic implications of lung volume reduction surgery
Examining surgical safety and durability
Beyond the National Emphysema Treatment Trial: extending surgical candidacy
Summary
Clinics Care Point
Technical Aspects of Lung Volume Reduction Surgery Including Anesthetic Management and Surgical Approaches
Key points
Introduction
Anesthetic management
Surgical aspects
Complications of lung volume reduction surgery
Summary
Clinics care points
Alpha1-antitrypsin Disease, Treatment and Role for Lung Volume Reduction Surgery
Key points
Introduction to chronic obstructive pulmonary disease
Alpha1-antitrypsin disease
Lung volume reduction surgery
Summary
Clinics care points
Postoperative Air Leaks After Lung Surgery: Predictors, Intraoperative Techniques, and Postoperative Management
Key points
Introduction
Definitions and risk factors
Intraoperative management
Chest tubes and management of air leaks
Postoperative interventions for air leak
Air leak after lung volume reduction surgery
Summary
Clinics care points
Value of a Multidisciplinary Team Approach to Treatment of Emphysema
Key points
Introduction
Introduction to the team
Lung volume reduction surgery coordinator
Pulmonologist
Thoracic surgeon
Radiologist
Rehabilitation coordinator
Anesthesiologist
Nursing
Respiratory therapy
Lung transplantation
Summary
Clinics care points
Life Expectancy and Rate of Decline After Lung Volume Reduction Surgery
Key points
Introduction
Heterogenous emphysema
Homogenous emphysema
Summary
Clinics care points
Bronchoscopic Valve Treatment of End-Stage Chronic Obstructive Pulmonary Disease
Key points
Introduction
Indications
Assessment of collateral ventilation
Predefined outcome measures
Early clinical results
Later clinical trials
Clinical results in homogeneous disease
Future trials
Complications related to endobronchial valve therapy
Other endobronchial therapies
Summary
Clinics care points
Lung Volume Reduction Surgery in Patients with Homogeneous Emphysema
Key points
Introduction
Rationale behind lung volume reduction
Definition of homogeneous emphysema
Patient selection
Results of surgical lung volume reduction in homogeneous emphysema
Results of bronchoscopic lung volume reduction in homogeneous emphysema
Surgical concepts
Summary and recommendations
Clinics care points
Economic Considerations of Lung Volume Reduction Surgery and Bronchoscopic Valves
Key points
Introduction
Chronic obstructive pulmonary disease economic burden
History of lung volume reduction surgery and costs
History of endobronchial therapy and costs
Cost-effectiveness comparison of lung volume reduction surgery and endobronchial valves
Future medical costs
Summary
Clinics care points
Future Treatment of Emphysema with Roles for Valves, Novel Strategies and Lung Volume Reduction Surgery
Key points
Endobronchial valves
Lung volume reduction coils
Bronchoscopic thermal vapor ablation
Additional novel strategies
Ongoing clinical trials
Future role for lung reduction interventions
Clinics care points

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Stephen R. Hazelrigg