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Surgical approaches for lung volume reduction in emphysema

Hopkinson, Nicholas S.; Polkey, Michael I.; Clark, Samuel J.; Zoumot, Zaid; Bamsey, Olivia; Dusmet, Michael; Lim, Eric; Jordan, Simon

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Nicholas S. Hopkinson

Michael I. Polkey

Samuel J. Clark

Zaid Zoumot

Olivia Bamsey

Michael Dusmet

Eric Lim

Simon Jordan


Lung volume reduction surgery (LVRS) for chronic obstructive pulmonary disease (COPD) is recommended in both British and international guidelines because trials have shown improvement in survival in selected patients with poor baseline exercise capacity and upper lobe-predominant emphysema. Despite this, few procedures are carried out, possibly because of historical concerns about high levels of morbidity and mortality associated with the operation. The authors reviewed data on lung volume reduction procedures at their institution between January 2000 and September 2012. There were no deaths within 90 days of unilateral LVRS (n=81), bullectomy (n=20) or intracavity drainage procedures (n=14). These data suggest that concerns about surgical mortality should not discourage LVRS in selected patients with COPD, provided that it is undertaken within a multidisciplinary team environment involving appropriate patient selection. © Royal College of Physicians 2014. All rights reserved.


Hopkinson, N. S., Polkey, M. I., Clark, S. J., Zoumot, Z., Bamsey, O., Dusmet, M., …Jordan, S. (2014). Surgical approaches for lung volume reduction in emphysema. Clinical Medicine, 14(2), 122-127.

Journal Article Type Article
Publication Date Mar 1, 2014
Deposit Date Aug 8, 2014
Publicly Available Date Nov 15, 2016
Journal Clinical Medicine, Journal of the Royal College of Physicians of London
Print ISSN 1470-2118
Electronic ISSN 1473-4893
Publisher Royal College of Physicians
Peer Reviewed Peer Reviewed
Volume 14
Issue 2
Pages 122-127
Keywords lung volume reduction surgery, emphysema, under-treatment, risk, mortality
Public URL
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