Surgical Improvement of Respiratory Insufficiency

Abstract

Resection of sizeable cysts or areas of localized bullous emphysema may theoretically improve pulmonary function by releasing atelectatic parts of neighbouring lung tissue compressed by these lesions. Nineteen such patients with varying degrees of respiratory insufficiency comprised the material for a pilot study following this concept. A serviceable pre-operative examination programme was gradually developed. All 19 initial unilateral interventions were nonfatal, but mortality was encountered in some second contralateral operations performed because of recurrent deterioration. At follow-up, maximal breathing capacity had increased in all patients but one and there was also a general improvement of working capacity.