Bullectomy | |
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![]() Cross section of Bullous emphysema |
Bullectomy is a surgical procedure in which dilated air-spaces or bullae in lung parenchyma are removed. [1] Common causes of dilated air-spaces include chronic obstructive pulmonary disease and emphysema. Patients with giant bullae filling half the thoracic volume and compressing relatively normal adjacent parenchyma are recommended for bullectomy. [2] [3] It is also indicated in severe dyspnea, repeated respiratory infections and spontaneous pneumothorax. [4] The size of dilated air-spaces or bullae volume is the most important factor in relation to ventilator capacity post-bullectomy. In cases where the size of bullae are enlarged, bullectomy is indicated if the percentage of forced expiratory volume in one second(FEV1%) is greater than 40% and the regional ventilation over volume dynamic(V/V Dynamic) is greater than 0.5. [5] [6]
Bullectomy | |
---|---|
![]() Cross section of Bullous emphysema |
Bullectomy is a surgical procedure in which dilated air-spaces or bullae in lung parenchyma are removed. [1] Common causes of dilated air-spaces include chronic obstructive pulmonary disease and emphysema. Patients with giant bullae filling half the thoracic volume and compressing relatively normal adjacent parenchyma are recommended for bullectomy. [2] [3] It is also indicated in severe dyspnea, repeated respiratory infections and spontaneous pneumothorax. [4] The size of dilated air-spaces or bullae volume is the most important factor in relation to ventilator capacity post-bullectomy. In cases where the size of bullae are enlarged, bullectomy is indicated if the percentage of forced expiratory volume in one second(FEV1%) is greater than 40% and the regional ventilation over volume dynamic(V/V Dynamic) is greater than 0.5. [5] [6]