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Video-Assisted Thoracic Surgery for Emphysema: Lung Volume Reduction Surgery, Concomitant Cancer Resection, and Volume Reduction Surgery and Bullectomy

  • Cliff K. C. ChoongEmail author
  • Julian A. Smith
  • Joel David Copper
  • Rolf G. C. Inderbitzi
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  • 2.2k Downloads

Abstract

Surgery for emphysema was first introduced by Brantigan and colleagues in 1957. It however did not gain acceptance due to high morbidity, mortality and a lack of objective results [1]. Cooper and colleagues at Washington University in St. Louis revived surgery for emphysema by reporting on their initial experience in 20 patients in 1995, and subsequently on the early outcomes (up to 2 years) in 150 patients in 1996, and the long-term outcomes (up to 5 years) in 250 patients in 2003 [2–4]. The surgery was termed as lung volume reduction surgery (LVRS). Cooper and colleagues showed that in appropriately selected patients, bilateral LVRS can produce significant functional improvement lasting at least 5 years for most of these patients and a low inhospital mortality rate of 4.8% [4]. The National Emphysema Treatment Trial (NETT) investigators confirmed the efficacy of bilateral LVRS over medical therapy in a prospective randomized multicentre study [5–7]. Lung volume reduction surgery for emphysema is now a proven therapy despite earlier concerns and controversies regarding the efficacy.

Keywords

Wedge Resection Median Sternotomy Lung Volume Reduction Surgery Severe Emphysema Lung Cancer Resection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Cliff K. C. Choong
    • 1
    Email author
  • Julian A. Smith
    • 1
    • 2
    • 3
  • Joel David Copper
    • 4
  • Rolf G. C. Inderbitzi
    • 5
  1. 1.Department of Surgery (MMC), Monash Medical CentreMonash UniversityClayton, MelbourneAustralia
  2. 2.Department of Cardiothoracic SurgerySouthern Health, Monash Medical CentreClayton, MelbourneAustralia
  3. 3.Specialty ProgramSouthern Health, Monash Medical CentreClayton, MelbourneAustralia
  4. 4.Division of Thoracic SurgeryUniversity of Pennsylvania Health SystemPhiladelphiaUSA
  5. 5.Thoraxzentrum Zurich, Hirslanden ClinicZurichSwitzerland

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