Abstract
Purpose: To compare operative anatomy of lung removed for emphysema with preoperative CT and V/Q localization and to correlate these results with 3 month postoperative lung function as a predictor of outcome. Methods: Retrospective review of 9 bilateral pneumectomy cases performed between February and December, 1995. Pre-operative CT scans, V/Q scans, and operative notes were reviewed. Correlation between CT and V/Q findings and anatomic location of resected lung at operation were compared. Three month post-operative spirometry, lung volumes, DLCO, and 6 minute walk distance were then evaluated and the results compared to preoperative values and correlated with anatomic findings. Results: In 7 patients, operative anatomy correlated with CT and V/Q localization. All 7 showed an improvement in most parameters. In 2 patients operative anatomy did not correlate with CT and/or V/Q localization. These snowed similar improvement in spirometry and lung volumes, however, DLCO and 6 minute walk distance were decreased. Conclusions: Anatomic correlation between CT scan, V/Q scan, and surgical localization predicts an increase in DLCO and 6 minute walk distance at 3 month follow up compared to pre-operative levels. When anatomic correlation does not exist, despite comparable improvement in spirometry and lung volumes, DLCO and 6 minute walk distance are adversely effected. Clinical Implications: Areas of resection during bilateral pneumectomy for emphysema should correlate with CT and V/Q scans in order to achieve the best results.
| Original language | English (US) |
|---|---|
| Journal | Chest |
| Volume | 110 |
| Issue number | 4 SUPPL. |
| State | Published - Oct 1996 |
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ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
Cite this
Bilateral pneumectomy for emphysema : Anatomic correlation with Computed Tomography (CT) scan, ventilation-perfusion (V/Q) scan, and surgically resected lung as a predictor of short term functional outcome. / Bonacci, Christine A.; Follette, D. M.; Hoso, A. D.; Allen, Roblee P.
In: Chest, Vol. 110, No. 4 SUPPL., 10.1996.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Bilateral pneumectomy for emphysema
T2 - Anatomic correlation with Computed Tomography (CT) scan, ventilation-perfusion (V/Q) scan, and surgically resected lung as a predictor of short term functional outcome
AU - Bonacci, Christine A.
AU - Follette, D. M.
AU - Hoso, A. D.
AU - Allen, Roblee P
PY - 1996/10
Y1 - 1996/10
N2 - Purpose: To compare operative anatomy of lung removed for emphysema with preoperative CT and V/Q localization and to correlate these results with 3 month postoperative lung function as a predictor of outcome. Methods: Retrospective review of 9 bilateral pneumectomy cases performed between February and December, 1995. Pre-operative CT scans, V/Q scans, and operative notes were reviewed. Correlation between CT and V/Q findings and anatomic location of resected lung at operation were compared. Three month post-operative spirometry, lung volumes, DLCO, and 6 minute walk distance were then evaluated and the results compared to preoperative values and correlated with anatomic findings. Results: In 7 patients, operative anatomy correlated with CT and V/Q localization. All 7 showed an improvement in most parameters. In 2 patients operative anatomy did not correlate with CT and/or V/Q localization. These snowed similar improvement in spirometry and lung volumes, however, DLCO and 6 minute walk distance were decreased. Conclusions: Anatomic correlation between CT scan, V/Q scan, and surgical localization predicts an increase in DLCO and 6 minute walk distance at 3 month follow up compared to pre-operative levels. When anatomic correlation does not exist, despite comparable improvement in spirometry and lung volumes, DLCO and 6 minute walk distance are adversely effected. Clinical Implications: Areas of resection during bilateral pneumectomy for emphysema should correlate with CT and V/Q scans in order to achieve the best results.
AB - Purpose: To compare operative anatomy of lung removed for emphysema with preoperative CT and V/Q localization and to correlate these results with 3 month postoperative lung function as a predictor of outcome. Methods: Retrospective review of 9 bilateral pneumectomy cases performed between February and December, 1995. Pre-operative CT scans, V/Q scans, and operative notes were reviewed. Correlation between CT and V/Q findings and anatomic location of resected lung at operation were compared. Three month post-operative spirometry, lung volumes, DLCO, and 6 minute walk distance were then evaluated and the results compared to preoperative values and correlated with anatomic findings. Results: In 7 patients, operative anatomy correlated with CT and V/Q localization. All 7 showed an improvement in most parameters. In 2 patients operative anatomy did not correlate with CT and/or V/Q localization. These snowed similar improvement in spirometry and lung volumes, however, DLCO and 6 minute walk distance were decreased. Conclusions: Anatomic correlation between CT scan, V/Q scan, and surgical localization predicts an increase in DLCO and 6 minute walk distance at 3 month follow up compared to pre-operative levels. When anatomic correlation does not exist, despite comparable improvement in spirometry and lung volumes, DLCO and 6 minute walk distance are adversely effected. Clinical Implications: Areas of resection during bilateral pneumectomy for emphysema should correlate with CT and V/Q scans in order to achieve the best results.
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UR - http://www.scopus.com/inward/citedby.url?scp=33750246433&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:33750246433
VL - 110
JO - Chest
JF - Chest
SN - 0012-3692
IS - 4 SUPPL.
ER -