Effects of Lung Volume Reduction Surgery on Survival in Patients with Advanced Emphysema
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As detailed in Chapter 13, early reports have suggested that in many patients, lung volume reduction surgery (LVRS) could provide significant improvements in respiratory function and dyspnea with low perioperative morbidity and mortality (1-7). More recent data from centers reporting their medium-term experiences confirm the functional and subjective benefits of LVRS in selected patient populations (8-11). Some investigators, however, have raised questions about the durability of these benefits, which appear to be short-lived in many patients (12,13). Only the analysis of longer-term data will clarify whether improvements in pulmonary function after LVRS will be long-lived or gradually be lost as the underlying disease process pursues its natural course.
KeywordsChronic Obstructive Pulmonary Disease Respir Crit Total Lung Capacity Actuarial Survival Lung Volume Reduction
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