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Lung volume reduction: where do we stand?

Keith S Naunheim1

  • 1Department of Cardiothoracic Surgery, St. Louis University Health Sciences Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, USA. naunheim@slu.edu

The Surgical Clinics of North America
|December 11, 2002
PubMed
Summary
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Lung volume resection (LVR) is a surgical approach for end-stage emphysema. This article reviews the procedure and its trials, suggesting LVR as a potential future treatment for select patients.

Area of Science:

  • Pulmonary Medicine
  • Thoracic Surgery

Background:

  • End-stage emphysema presents significant treatment challenges.
  • Lung volume reduction surgery (LVRS) has evolved as a therapeutic option.

Purpose of the Study:

  • To discuss the historical development and current status of lung volume resection (LVR).
  • To review clinical trials investigating LVR for emphysema treatment.

Main Methods:

  • Review of the literature on lung volume resection (LVR) since its introduction.
  • Discussion of the surgical technique, including stapled resection via median sternotomy.

Main Results:

  • Lung volume resection (LVR) was first described in 1995.
  • Clinical trials have been instituted to evaluate the efficacy of LVR.

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Conclusions:

  • Lung volume resection (LVR) may offer a viable alternative treatment for carefully selected end-stage emphysema patients.
  • Further research and trials are needed to establish LVR's role in emphysema management.