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Lung volume reduction, bullectomy, and lung transplantation 

Lung volume reduction, bullectomy, and lung transplantation
Chapter:
Lung volume reduction, bullectomy, and lung transplantation
Author(s):

William D. Man

and Onn Min Kon

DOI:
10.1093/med/9780199549146.003.0010
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date: 20 February 2020

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.

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