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Thoracic Surgery

Thoracic surgery focuses on diseases of the thorax (chest), including lung disease and other conditions.

Endoscope

An illuminated optic instrument inserted through an incision.

Emphysema

A chronic, progressive condition that is caused by a breakdown of the walls of the air sacs of the lungs, causing them to become abnormally enlarged. This results in labored breathing and an increase in susceptibility to infection.

Lung Volume Reduction Surgery (LVRS)

Definition/Overview

LVRS is a procedure performed on individuals with advanced emphysema. During LVRS, a portion of the diseased lung tissue is removed, allowing the diaphragm to return to a more normal position. This allows the diaphragm to work effectively again, and also may improve lung elasticity.

Procedure

This is an inpatient procedure performed using general anesthesia. LVRS may be performed in two ways: either by an incision in the breastbone, or endoscopically, through a small incision in the side of the chest. The diseased lung tissue is removed and the remaining lung is sealed. The surgeon will insert a chest tube to promote drainage of fluid that may build up in the chest. You may be given an epidural catheter in order to administer pain medication.

You will be in the ICU (Intensive Care Unit) for a few days or until your doctor determines you are well enough to be moved to a regular hospital room. In addition to the chest tube, you may be on a respirator for at least 24 hours after the operation. You may be fed and medicated intravenously, and will be encouraged to walk to prevent clots as well as cough to clear lung secretions. You may be in the hospital for 10 days or more, during which time you will receive physical therapy to promote optimal recovery.

Disclaimer: The information contained in this site is for informational purposes only. It does not take the place of, nor is it intended to be, a substitute for individual medical advice, diagnosis or treatment from your physician. All procedures carry the risk of complications — your healthcare provider can provide details regarding your individual situation.