PMID- 17517180 OWN - NLM STAT- MEDLINE DCOM- 20070712 LR - 20070522 IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 120 IP - 8 DP - 2007 Apr 20 TI - Mid-term effects of lung volume reduction surgery on pulmonary function in patients with chronic obstructive pulmonary disease. PG - 658-62 AB - BACKGROUND: Now lung volume reduction surgery (LVRS) has become one of the most effective methods for the management of some cases of severe chronic obstructive pulmonary disease (COPD). We evaluated the mid-term effects of LVRS on pulmonary function in patients with severe COPD. METHODS: Ten male patients with severe COPD aged 38 - 70 years underwent LVRS and their pulmonary function was assessed before, 3 months and 3 years after surgery. The spirometric and gas exchange parameters included residual volume, total lung capacity, inspiratory capacity, forced vital capacity, forced expiratory volume in one second, diffusion capacity for CO, and arterial blood gas. A 6-minute walk distance (6MWD) test was performed. RESULTS: As to preoperative assessment, most spirometric parameters and 6MWD were significantly improved after 3 months and slightly 3 years after LVRS. Gas exchange parameters were significantly improved 3 months after surgery, but returned to the preoperative levels after 3 years. CONCLUSIONS: LVRS may significantly improve pulmonary function in patients with severe COPD indicating for LVRS. Mid-term pulmonary function 3 years after surgery can be decreased to the level at 3 months after surgery. Three years after LVRS, lung volume and pulmonary ventilation function can be significantly improved, but the improvement in gas exchange function was not significant. FAU - Liu, Jin-Ming AU - Liu JM AD - Department of Respiratory Medicine, Pulmonary Function Test Laboratory and Department of Thoracic Surgery, Shanghai Pneumology Hospital, Tongji University, Shanghai, China. Jinming_Liu@hotmail.com FAU - Yang, Wen-Lan AU - Yang WL FAU - Jiang, Ge-Ning AU - Jiang GN FAU - Ding, Jia-An AU - Ding JA FAU - Zheng, Wei AU - Zheng W FAU - Liu, Wen-Zeng AU - Liu WZ FAU - Wang, Ying-Min AU - Wang YM FAU - Gao, Bei-Lan AU - Gao BL FAU - Jiang, Ping AU - Jiang P FAU - Wu, Wen AU - Wu W FAU - Li, Xia AU - Li X FAU - Bjorn, Jonson AU - Bjorn J LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 SB - IM MH - Adult MH - Aged MH - Exercise Tolerance MH - Humans MH - Lung Volume Measurements MH - Male MH - Middle Aged MH - Pneumonectomy/adverse effects/*methods MH - Pulmonary Disease, Chronic Obstructive/pathology/*physiopathology/*surgery MH - Respiratory Function Tests MH - Time Factors EDAT- 2007/05/23 09:00 MHDA- 2007/07/13 09:00 CRDT- 2007/05/23 09:00 PHST- 2007/05/23 09:00 [pubmed] PHST- 2007/07/13 09:00 [medline] PHST- 2007/05/23 09:00 [entrez] PST - ppublish SO - Chin Med J (Engl). 2007 Apr 20;120(8):658-62.