Research progress on two types of lung volume reduction_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LI Weifeng , ZHANG Zhenrong ,  LIU Deruo

Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, 100029, P.R.China;

Corresponding author：

LIU Deruo, Email: deruoliu@vip.sina.com

Keywords：

Emphysema; chronic obstructive pulmonary disease; lung volume reduction; lung volume reduction surgery; bronchoscopic lung volume reduction; video-assisted thoracoscopic surgery

DOI：

10.7507/1007-4848.201606037

Video：

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Abstract Full text Figures/Tables Video References Cited by

Emphysema is a chronic progressive disease characterized by abnormal terminal bronchioles. Patients in end-stage have limited treatment. Lung volume reduction surgery(LVRS) is to remove the non-functional emphysematous lung tissue with the aim of palliating symptoms in selected patient with severe emphysema. It provides a new therapeutic method for emphysema. When LVRS is widely accepted after 1990s, a large number of institutions carried out the researches on surgical approaches, perioperative mortality, long-term efficacy and complications. Its targeted beneficial patients and surgical safety had been confirmed too. Bronchoscopic lung volume reduction (BLVR) successfully carried out on the basis of the development of LVRS and bronchoscopy. This article reviews the surgical approaches, safety and efficacy of LVRS and BLVR in patients with emphysema.

Citation： LI Weifeng, ZHANG Zhenrong, LIU Deruo. Research progress on two types of lung volume reduction. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(10): 797-802. doi: 10.7507/1007-4848.201606037 Copy

1.	Vestbo J, Hurd SS, Agusti AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med, 2013, 187(4): 347-365.
2.	Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 2006, 3(11): e442.
3.	Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey. Am J Respir Crit Care Med, 2007, 176(8): 753-760.
4.	Brantigan OC, Mueller E, Kress MB. A surgical approach to pulmonary emphysema. Am Rev Respir Dis, 1959, 80(1, Part 2): 194-206.
5.	Fessler HE, Permutt S. Lung volume reduction surgery and airflow limitation. Am J Respir Crit Care Med, 1998, 157(3 Pt 1): 715-722.
6.	Martinez FJ, de Oca MM, Whyte RI, et al. Lung-volume reduction improves dyspnea, dynamic hyperinflation, and respiratory muscle function. Am J Respir Crit Care Med, 1997, 155(6): 1984-1990.
7.	Ingenito EP, Loring SH, Moy ML, et al. Physiological characterization of variability in response to lung volume reduction surgery. J Appl Physiol, 1985, 2003, 94(1): 20-30.
8.	Gorman RB, McKenzie DK, Butler JE, et al. Diaphragm length and neural drive after lung volume reduction surgery. Am J Respir Crit Care Med, 2005, 172(10): 1259-1266.
9.	Fishman A, Martinez F, Naunheim K, et al. A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema. N Engl J Med, 2003, 348(21): 2059-2073.
10.	Tutic M, Lardinois D, Imfeld S, et al. Lung-volume reduction surgery as an alternative or bridging procedure to lung transplantation. Ann Thorac Surg, 2006, 82(1): 208-213.
11.	Meyers BF, Yusen RD, Guthrie TJ, et al. Outcome of bilateral lung volume reduction in patients with emphysema potentially eligible for lung transplantation. J Thorac Cardiovasc Surg, 2001, 122(1): 10-17.
12.	Wisser W, Deviatko E, Simon-Kupilik N, et al. Lung transplantation following lung volume reduction surgery. J Heart Lung Transplant, 2000, 19(5): 480-487.
13.	Senbaklavaci O, Wisser W, Ozpeker C, et al. Successful lung volume reduction surgery brings patients into better condition for later lung transplantation. Eur J Cardiothorac Surg, 2002, 22(3): 363-367.
14.	Shitrit D, Fink G, Sahar G, et al. Successful lung transplantation following lung volume reduction surgery. Thorac Cardiovasc Surg, 2003, 51(5): 274-276.
15.	Stirling GR, Babidge WJ, Peacock MJ, et al. Lung volume reduction surgery in emphysema: a systematic review. Ann Thorac Surg, 2001, 72(2): 641-648.
16.	Naunheim KS, Kaiser LR, Bavaria JE, et al. Long-term survival after thoracoscopic lung volume reduction: a multiinstitutional review. Ann Thorac Surg, 1999, 68(6): 2026-2031.
17.	de Perrot M, Licker M, Spiliopoulos A. Muscle-sparing anterior thoracotomy for one-stage bilateral lung volume reduction operation. Ann Thorac Surg, 1998, 66(2): 582-585.
18.	Cooper JD, Trulock EP, Triantafillou AN, et al. Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease. J Thorac Cardiovasc Surg, 1995, 109(1): 106-116.
19.	Cooper JD, Patterson GA, Sundaresan RS, et al. Results of 150 consecutive bilateral lung volume reduction procedures in patients with severe emphysema. J Thorac Cardiovasc Surg, 1996, 112(5): 1319-1330.
20.	Boley TM, Reid AJ, Manning BT, et al. Sternotomy or bilateral thoracoscopy: pain and postoperative complications after lung-volume reduction surgery. Eur J Cardiothorac Surg, 2012, 41(1): 14-18.
21.	Olbrecht VA, Barreiro CJ, Bonde PN, et al. Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann Thorac Surg, 2006, 82(3): 902-907.
22.	Kotloff RM, Tino G, Bavaria JE, et al. Bilateral lung volume reduction surgery for advanced emphysema. A comparison of median sternotomy and thoracoscopic approaches. Chest, 1996, 110(6): 1399-1406.
23.	Wisser W, Tschernko E, Senbaklavaci O, et al. Functional improvement after volume reduction: sternotomy versus videoendoscopic approach. Ann Thorac Surg, 1997, 63(3): 822-828.
24.	McKenna RJ, Jr., Brenner M, Fischel RJ, et al. Should lung volume reduction for emphysema be unilateral or bilateral? J Thorac Cardiovasc Surg, 1996, 112(5): 1331-1339.
25.	Ko CY, Waters PF. Lung volume reduction surgery: a cost and outcomes comparison of sternotomy versus thoracoscopy. Am Surg, 1998, 64(10): 1010-1013.
26.	Puc MM, Sonnad SS, Shrager JB. Early outcomes after bilateral thoracoscopy versus median sternotomy for lung volume reduction. Innovations (Phila), 2010, 5(2): 97-102.
27.	McKenna RJ Jr., Benditt JO, DeCamp M, et al. Safety and efficacy of median sternotomy versus video-assisted thoracic surgery for lung volume reduction surgery. J Thorac Cardiovasc Surg, 2004, 127(5): 1350-1360.
28.	Ginsburg ME, Thomashow BM, Bulman WA, et al. The safety, efficacy, and durability of lung-volume reduction surgery: A 10-year experience. J Thorac Cardiovasc Surg, 2016, 151(3): 717-724 e711.
29.	Clark SJ, Zoumot Z, Bamsey O, et al. Surgical approaches for lung volume reduction in emphysema. Clin Med (Lond), 2014, 14(2): 122-127.
30.	Serna DL, Brenner M, Osann KE, et al. Survival after unilateral versus bilateral lung volume reduction surgery for emphysema. J Thorac Cardiovasc Surg, 1999, 118(6): 1101-1109.
31.	Lowdermilk GA, Keenan RJ, Landreneau RJ, et al. Comparison of clinical results for unilateral and bilateral thoracoscopic lung volume reduction. Ann Thorac Surg, 2000, 69(6): 1670-1674.
32.	姜格宁, 丁嘉安, 童稳圃, 等. 肺减容术治疗重度肺气肿 43 例疗效分析. 中华胸心血管外科杂志, 2002, 18(5): 287-289.0.
33.	胡滨, 侯生才, 李辉, 等. 单双侧肺减容术后早期肺功能及肺血流动力学的变化. 中华外科杂志, 2007, 45(8): 552-554.0.
34.	Geiser T, Schwizer B, Krueger T, et al. Outcome after unilateral lung volume reduction surgery in patients with severe emphysema. Eur J Cardiothorac Surg, 2001, 20(4): 674-678.
35.	Brenner M, McKenna RJ, Jr, Gelb AF, et al. Rate of FEV1 change following lung volume reduction surgery. Chest, 1998, 113(3): 652-659.
36.	Oey IF, Morgan MD, Spyt TJ, et al. Staged bilateral lung volume reduction surgery - the benefits of a patient-led strategy. Eur J Cardiothorac Surg, 2010, 37(4): 846-852.
37.	张淼, 潘雪峰, 张辉. 分期双侧单孔胸腔镜肺减容术的临床分析 . 中国胸心血管外科临床杂志, 2016, 23(1): 25-28.0.
38.	National Emphysema Treatment Trial Research Group, Fishman A, Fessler H, Martinez F, et al. Patients at high risk of death after lung-volume-reduction surgery. N Engl J Med, 2001, 345(15): 1075-1083.
39.	Naunheim KS, Wood DE, Krasna MJ, et al. Predictors of operative mortality and cardiopulmonary morbidity in the National Emphysema Treatment Trial. J Thorac Cardiovasc Surg, 2006, 131(1): 43-53.
40.	DeCamp MM, Blackstone EH, Naunheim KS, et al. Patient and surgical factors influencing air leak after lung volume reduction surgery: lessons learned from the National Emphysema Treatment Trial. Ann Thorac Surg, 2006, 82(1): 197-206.
41.	Kaplan RM, Sun Q, Ries AL. Quality of well-being outcomes in the National Emphysema Treatment Trial. Chest, 2015, 147(2): 377-387.
42.	Gompelmann D, Eberhardt R, Herth F. Endoscopic volume reduction in COPD- a critical review. Dtsch Arztebl Int, 2014, 111(49): 827-833.
43.	Eberhardt R, Gompelmann D, Herth FJ, et al. Endoscopic bronchial valve treatment: patient selection and special considerations. Int J Chron Obstruct Pulmon Dis, 2015, 10: 2147-2157.
44.	Sciurba FC, Ernst A, Herth FJ, et al. A randomized study of endobronchial valves for advanced emphysema. N Engl J Med, 2010, 363(13): 1233-1244.
45.	Shah PL, Herth FJ. Current status of bronchoscopic lung volume reduction with endobronchial valves. Thorax, 2014, 69(3): 280-286.
46.	Davey C, Zoumot Z, Jordan S, et al. Bronchoscopic lung volume reduction with endobronchial valves for patients with heterogeneous emphysema and intact interlobar fissures (the BeLieVeR-HIFi study): a randomised controlled trial. Lancet, 2015, 386(9998): 1066-1073.
47.	Shah PL, Slebos DJ, Cardoso PF, et al. Bronchoscopic lung-volume reduction with Exhale airway stents for emphysema (EASE trial): randomised, sham-controlled, multicentre trial. Lancet, 2011, 378(9795): 997-1005.
48.	Slebos DJ, Klooster K, Ernst A, et al. Bronchoscopic lung volume reduction coil treatment of patients with severe heterogeneous emphysema. Chest, 2012, 142(3): 574-582.
49.	Deslee G, Klooster K, Hetzel M, et al. Lung volume reduction coil treatment for patients with severe emphysema: a European multicentre trial. Thorax, 2014, 69(11): 980-986.
50.	Hartman JE, Klooster K, Gortzak K, et al. Long-term follow-up after bronchoscopic lung volume reduction treatment with coils in patients with severe emphysema. Respirology, 2015, 20(2): 319-326.
51.	Snell G, Herth FJ, Hopkins P, et al. Bronchoscopic thermal vapour ablation therapy in the management of heterogeneous emphysema. Eur Respir J, 2012, 39(6): 1326-1333.

1. Vestbo J, Hurd SS, Agusti AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med, 2013, 187(4): 347-365.
2. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 2006, 3(11): e442.
3. Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey. Am J Respir Crit Care Med, 2007, 176(8): 753-760.
4. Brantigan OC, Mueller E, Kress MB. A surgical approach to pulmonary emphysema. Am Rev Respir Dis, 1959, 80(1, Part 2): 194-206.
5. Fessler HE, Permutt S. Lung volume reduction surgery and airflow limitation. Am J Respir Crit Care Med, 1998, 157(3 Pt 1): 715-722.
6. Martinez FJ, de Oca MM, Whyte RI, et al. Lung-volume reduction improves dyspnea, dynamic hyperinflation, and respiratory muscle function. Am J Respir Crit Care Med, 1997, 155(6): 1984-1990.
7. Ingenito EP, Loring SH, Moy ML, et al. Physiological characterization of variability in response to lung volume reduction surgery. J Appl Physiol, 1985, 2003, 94(1): 20-30.
8. Gorman RB, McKenzie DK, Butler JE, et al. Diaphragm length and neural drive after lung volume reduction surgery. Am J Respir Crit Care Med, 2005, 172(10): 1259-1266.
9. Fishman A, Martinez F, Naunheim K, et al. A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema. N Engl J Med, 2003, 348(21): 2059-2073.
10. Tutic M, Lardinois D, Imfeld S, et al. Lung-volume reduction surgery as an alternative or bridging procedure to lung transplantation. Ann Thorac Surg, 2006, 82(1): 208-213.
11. Meyers BF, Yusen RD, Guthrie TJ, et al. Outcome of bilateral lung volume reduction in patients with emphysema potentially eligible for lung transplantation. J Thorac Cardiovasc Surg, 2001, 122(1): 10-17.
12. Wisser W, Deviatko E, Simon-Kupilik N, et al. Lung transplantation following lung volume reduction surgery. J Heart Lung Transplant, 2000, 19(5): 480-487.
13. Senbaklavaci O, Wisser W, Ozpeker C, et al. Successful lung volume reduction surgery brings patients into better condition for later lung transplantation. Eur J Cardiothorac Surg, 2002, 22(3): 363-367.
14. Shitrit D, Fink G, Sahar G, et al. Successful lung transplantation following lung volume reduction surgery. Thorac Cardiovasc Surg, 2003, 51(5): 274-276.
15. Stirling GR, Babidge WJ, Peacock MJ, et al. Lung volume reduction surgery in emphysema: a systematic review. Ann Thorac Surg, 2001, 72(2): 641-648.
16. Naunheim KS, Kaiser LR, Bavaria JE, et al. Long-term survival after thoracoscopic lung volume reduction: a multiinstitutional review. Ann Thorac Surg, 1999, 68(6): 2026-2031.
17. de Perrot M, Licker M, Spiliopoulos A. Muscle-sparing anterior thoracotomy for one-stage bilateral lung volume reduction operation. Ann Thorac Surg, 1998, 66(2): 582-585.
18. Cooper JD, Trulock EP, Triantafillou AN, et al. Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease. J Thorac Cardiovasc Surg, 1995, 109(1): 106-116.
19. Cooper JD, Patterson GA, Sundaresan RS, et al. Results of 150 consecutive bilateral lung volume reduction procedures in patients with severe emphysema. J Thorac Cardiovasc Surg, 1996, 112(5): 1319-1330.
20. Boley TM, Reid AJ, Manning BT, et al. Sternotomy or bilateral thoracoscopy: pain and postoperative complications after lung-volume reduction surgery. Eur J Cardiothorac Surg, 2012, 41(1): 14-18.
21. Olbrecht VA, Barreiro CJ, Bonde PN, et al. Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann Thorac Surg, 2006, 82(3): 902-907.
22. Kotloff RM, Tino G, Bavaria JE, et al. Bilateral lung volume reduction surgery for advanced emphysema. A comparison of median sternotomy and thoracoscopic approaches. Chest, 1996, 110(6): 1399-1406.
23. Wisser W, Tschernko E, Senbaklavaci O, et al. Functional improvement after volume reduction: sternotomy versus videoendoscopic approach. Ann Thorac Surg, 1997, 63(3): 822-828.
24. McKenna RJ, Jr., Brenner M, Fischel RJ, et al. Should lung volume reduction for emphysema be unilateral or bilateral? J Thorac Cardiovasc Surg, 1996, 112(5): 1331-1339.
25. Ko CY, Waters PF. Lung volume reduction surgery: a cost and outcomes comparison of sternotomy versus thoracoscopy. Am Surg, 1998, 64(10): 1010-1013.
26. Puc MM, Sonnad SS, Shrager JB. Early outcomes after bilateral thoracoscopy versus median sternotomy for lung volume reduction. Innovations (Phila), 2010, 5(2): 97-102.
27. McKenna RJ Jr., Benditt JO, DeCamp M, et al. Safety and efficacy of median sternotomy versus video-assisted thoracic surgery for lung volume reduction surgery. J Thorac Cardiovasc Surg, 2004, 127(5): 1350-1360.
28. Ginsburg ME, Thomashow BM, Bulman WA, et al. The safety, efficacy, and durability of lung-volume reduction surgery: A 10-year experience. J Thorac Cardiovasc Surg, 2016, 151(3): 717-724 e711.
29. Clark SJ, Zoumot Z, Bamsey O, et al. Surgical approaches for lung volume reduction in emphysema. Clin Med (Lond), 2014, 14(2): 122-127.
30. Serna DL, Brenner M, Osann KE, et al. Survival after unilateral versus bilateral lung volume reduction surgery for emphysema. J Thorac Cardiovasc Surg, 1999, 118(6): 1101-1109.
31. Lowdermilk GA, Keenan RJ, Landreneau RJ, et al. Comparison of clinical results for unilateral and bilateral thoracoscopic lung volume reduction. Ann Thorac Surg, 2000, 69(6): 1670-1674.
32. 姜格宁, 丁嘉安, 童稳圃, 等. 肺减容术治疗重度肺气肿 43 例疗效分析. 中华胸心血管外科杂志, 2002, 18(5): 287-289.0.
33. 胡滨, 侯生才, 李辉, 等. 单双侧肺减容术后早期肺功能及肺血流动力学的变化. 中华外科杂志, 2007, 45(8): 552-554.0.
34. Geiser T, Schwizer B, Krueger T, et al. Outcome after unilateral lung volume reduction surgery in patients with severe emphysema. Eur J Cardiothorac Surg, 2001, 20(4): 674-678.
35. Brenner M, McKenna RJ, Jr, Gelb AF, et al. Rate of FEV1 change following lung volume reduction surgery. Chest, 1998, 113(3): 652-659.
36. Oey IF, Morgan MD, Spyt TJ, et al. Staged bilateral lung volume reduction surgery - the benefits of a patient-led strategy. Eur J Cardiothorac Surg, 2010, 37(4): 846-852.
37. 张淼, 潘雪峰, 张辉. 分期双侧单孔胸腔镜肺减容术的临床分析 . 中国胸心血管外科临床杂志, 2016, 23(1): 25-28.0.
38. National Emphysema Treatment Trial Research Group, Fishman A, Fessler H, Martinez F, et al. Patients at high risk of death after lung-volume-reduction surgery. N Engl J Med, 2001, 345(15): 1075-1083.
39. Naunheim KS, Wood DE, Krasna MJ, et al. Predictors of operative mortality and cardiopulmonary morbidity in the National Emphysema Treatment Trial. J Thorac Cardiovasc Surg, 2006, 131(1): 43-53.
40. DeCamp MM, Blackstone EH, Naunheim KS, et al. Patient and surgical factors influencing air leak after lung volume reduction surgery: lessons learned from the National Emphysema Treatment Trial. Ann Thorac Surg, 2006, 82(1): 197-206.
41. Kaplan RM, Sun Q, Ries AL. Quality of well-being outcomes in the National Emphysema Treatment Trial. Chest, 2015, 147(2): 377-387.
42. Gompelmann D, Eberhardt R, Herth F. Endoscopic volume reduction in COPD- a critical review. Dtsch Arztebl Int, 2014, 111(49): 827-833.
43. Eberhardt R, Gompelmann D, Herth FJ, et al. Endoscopic bronchial valve treatment: patient selection and special considerations. Int J Chron Obstruct Pulmon Dis, 2015, 10: 2147-2157.
44. Sciurba FC, Ernst A, Herth FJ, et al. A randomized study of endobronchial valves for advanced emphysema. N Engl J Med, 2010, 363(13): 1233-1244.
45. Shah PL, Herth FJ. Current status of bronchoscopic lung volume reduction with endobronchial valves. Thorax, 2014, 69(3): 280-286.
46. Davey C, Zoumot Z, Jordan S, et al. Bronchoscopic lung volume reduction with endobronchial valves for patients with heterogeneous emphysema and intact interlobar fissures (the BeLieVeR-HIFi study): a randomised controlled trial. Lancet, 2015, 386(9998): 1066-1073.
47. Shah PL, Slebos DJ, Cardoso PF, et al. Bronchoscopic lung-volume reduction with Exhale airway stents for emphysema (EASE trial): randomised, sham-controlled, multicentre trial. Lancet, 2011, 378(9795): 997-1005.
48. Slebos DJ, Klooster K, Ernst A, et al. Bronchoscopic lung volume reduction coil treatment of patients with severe heterogeneous emphysema. Chest, 2012, 142(3): 574-582.
49. Deslee G, Klooster K, Hetzel M, et al. Lung volume reduction coil treatment for patients with severe emphysema: a European multicentre trial. Thorax, 2014, 69(11): 980-986.
50. Hartman JE, Klooster K, Gortzak K, et al. Long-term follow-up after bronchoscopic lung volume reduction treatment with coils in patients with severe emphysema. Respirology, 2015, 20(2): 319-326.
51. Snell G, Herth FJ, Hopkins P, et al. Bronchoscopic thermal vapour ablation therapy in the management of heterogeneous emphysema. Eur Respir J, 2012, 39(6): 1326-1333.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Research progress on two types of lung volume reduction

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