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Lung volume reduction surgery for emphysema: out on a limb without a NETT
J P Utz1, R D Hubmayr, C Deschamps
1Division of Pulmonary and Critical Care Medicine and Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clinic Proceedings
|June 11, 1998
Summary
Lung volume reduction surgery (LVRS) may improve quality of life for advanced emphysema patients. However, more data is needed to confirm its safety and effectiveness compared to medical treatments.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Technology
Background:
- Lung volume reduction surgery (LVRS) is being reconsidered for advanced emphysema.
- Current data is insufficient to establish LVRS safety and efficacy versus medical therapy.
Purpose of the Study:
- To review historical and contemporary LVRS.
- To identify critical unanswered questions regarding LVRS.
Main Methods:
- Literature review of LVRS historical and contemporary versions.
- Discussion of unresolved issues in LVRS patient management.
Main Results:
- LVRS shows potential for improving quality of life in advanced emphysema.
- Significant data gaps exist regarding long-term effects, patient selection, efficacy measures, and cost-effectiveness.
Conclusions:
- Further research, including the National Emphysema Treatment Trial, is crucial.
- Optimal patient management for emphysema remains challenging without definitive LVRS data.