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. 2014 Apr;14(2):122-7.
doi: 10.7861/clinmedicine.14-2-122.

Surgical approaches for lung volume reduction in emphysema

Samuel J Clark  1 , Zaid Zoumot, Olivia Bamsey, Michael I Polkey, Michael Dusmet, Eric Lim, Simon Jordan, Nicholas S Hopkinson
Affiliations

Surgical approaches for lung volume reduction in emphysema

Samuel J Clark et al. Clin Med (Lond). 2014 Apr.

Abstract

Lung volume reduction surgery (LVRS) for chronic obstructive pulmonary disease (COPD) is recommended in both British and international guidelines because trials have shown improvement in survival in selected patients with poor baseline exercise capacity and upper lobe-predominant emphysema. Despite this, few procedures are carried out, possibly because of historical concerns about high levels of morbidity and mortality associated with the operation. The authors reviewed data on lung volume reduction procedures at their institution between January 2000 and September 2012. There were no deaths within 90 days of unilateral LVRS (n = 81), bullectomy (n = 20) or intracavity drainage procedures (n = 14). These data suggest that concerns about surgical mortality should not discourage LVRS in selected patients with COPD, provided that it is undertaken within a multidisciplinary team environment involving appropriate patient selection.

Keywords: -under-treatment; Lung volume reduction surgery; emphysema; mortality; risk.

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Figures

Fig 1.
Fig 1.
Numbers of patients undergoing lung volume reduction surgery procedures January 2000 to September 2012. LVRS = lung volume reduction surgery.
See this image and copyright information in PMC

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References

    1. Kelly JL, Bamsey O, Smith C, et al. Health status assessment in routine clinical practice: the chronic obstructive pulmonary disease assessment test score in outpatients. Respiration 2012;84:193–9.10.1159/000336549 - DOI - PubMed
    1. Nacul L, Soljak M, Samarasundera E, et al. COPD in England: a comparison of expected, model-based prevalence and observed prevalence from general practice data. J Public Health (Oxf) 2011;33:108–16.10.1093/pubmed/fdq031 - DOI - PubMed
    1. Shrikrishna D, Hopkinson NS. Chronic obstructive pulmonary -disease: consequences beyond the lung. Clin Med 2012;12:71–4.10.7861/clinmedicine.12-1-71 - DOI - PMC - PubMed
    1. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a -systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095–128.10.1016/S0140-6736(12)61728-0 - DOI - PMC - PubMed
    1. Boutou AK, Shrikrishna D, Tanner RJ, et al. Lung function indices for predicting mortality in COPD. Eur Respir J 2013;42:616–25.10.1183/09031936.00146012 - DOI - PMC - PubMed

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