Chapter

Lung volume reduction, bullectomy, and lung transplantation

William D. Man and Onn Min Kon

in Chronic Obstructive Pulmonary Disease (COPD)

Published on behalf of Oxford University Press

ISBN: 9780199549146
Published online May 2011 | e-ISBN: 9780199607273 | DOI: http://dx.doi.org/10.1093/med/9780199549146.003.0010

Series: Oxford Respiratory Medicine Library

Lung volume reduction, bullectomy, and lung transplantation

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• Increased lung volumes are a characteristic of many patients with COPD and have negative mechanical effects on cardiopulmonary function. • Lung volume can be reduced pharmacologically and surgically. • The National Emphysema Treatment Trial (NETT) has identified selective subgroups that benefit from Lung Volume Reduction Surgery (LVRS) and has identified high-risk patients who should not be referred for LVRS. • Less-invasive methods of lung volume reduction (bronchoscopic approach, airway bypass) are currently being evaluated. • Bullectomy should be considered in breathless patients with a large bulla occupying greater than 30% of the hemithorax or a history of pneumothorax.

Chapter.  1939 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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