Uni- versus bilaterale Lungentransplantation bei obstruktiven Lungenerkrankungen

Autor:	Stefanos Demertzis, Ulrike Bartram, Monika Heilmann, Thorsten Wahlers, Hans Joachim Schäfers
Rok vydání:	1997
Předmět:	medicine.medical_specialty Lung business.industry medicine.medical_treatment General Medicine Pulmonary function testing Surgery Transplantation medicine.anatomical_structure Intensive care Medicine Lung transplantation business Pulmonary wedge pressure Survival rate Heart-Lung Transplantation
Zdroj:	Medizinische Klinik. 92:8-14
ISSN:	1615-6722 0723-5003
DOI:	10.1007/bf03041973
Popis:	BACKGROUND: The question whether patients suffering from end-stage emphysema who are candidates for lung transplantation should be treated with a single lung or with a double lung transplantation is still unanswered. METHODS: We reviewed 24 consecutive lung transplant procedures, comparing the results of 6 patients with an unilateral and 17 with a bilateral transplantation. PATIENTS AND RESULTS: After bilateral transplantation the patients showed a trend towards better blood gas exchange with shorter time on ventilator and intensive care compared patients after unilateral procedure. Three-year-actuarial survival was higher in the group after bilateral transplantation (83% versus 67%). There was a continuous improvement in pulmonary function in both groups during the first months after transplantation. Vital capacity and forced exspiratory ventilation therapies during the first second were significantly higher in the bilateral transplant group. CONCLUSION: Both unilateral and bilateral transplantation are feasible for patients with end-stage emphysema. Bilateral transplantation results in better pulmonary reserve capacity and faster rehabilitation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2085f7bfad5178f05cc1f73ed4d8bdc8 https://doi.org/10.1007/bf03041973 Zobrazit plný text záznamu