[Unilateral vs. bilateral lung transplantation in obstructive pulmonary disease]

Bartram, U; Demertzis, S; Heilmann, M; Wahlers, T; Schäfers, H J (1997). [Unilateral vs. bilateral lung transplantation in obstructive pulmonary disease]. Medizinische Klinik, -(92 Suppl 5), 8-12, 14. München: Springer-Medizin-Verlag 10.1007/BF03041973

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Faculty Institutions > Teaching Staff, Faculty of Medicine

UniBE Contributor:

Demertzis, Stefanos

ISSN:

0723-5003

ISBN:

19479390

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:08

Last Modified:

06 Dec 2013 13:56

Publisher DOI:

10.1007/BF03041973

PubMed ID:

19479390

Web of Science ID:

000071128300002

URI:

https://boris.unibe.ch/id/eprint/29721 (FactScience: 157910)

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