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KMID : 0364019960290040408
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 4 p.408 ~ p.413
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Surgical Treatment of Bullous Emphysema with Giant Bbullae
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Abstract
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In most cases of diffuse bullous emphysema and chronic obstructive lung disease, the risk of surgical treatment is very high.
But surgical treatment in selected cases of bullous emphysema with localized involvement of only one side of the lung has suggested safe and good management. So patient selection of surgical treatment is one of the most important things in
managtement
of bullous emphysema.
From 1987 to 1992, ll patients were operated for bullous emphysema with giant bullae at the Department of Thoracic and Cardiovascular Surgery of Chonbuk National Unicersity Hospital.
Author selected surgical candidates who had progressive dyspnea and symptomatic bullae occupying more than one third of the hemithorax and shifting the trachea and mediastinum to the opposite side of the lung.
There were 7 males and 4 females ranged from 19 to 61 years of age. Operative procedures were bullectomy and/or wedge resection in 7 cases, segmentectomy in 2 cases and lobectomy in 2 cases.
Symptoms and pulmonary function of all patients were improved six months to three years postoperatively. There were no postoperative death.
We conclude that surgical treatment of bullous emphysema with giant bullae is safe and a good treatment of modality in indicated patients.
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