Abstract
Surgical procedures designed to improve pulmonary function and quality of life of patients with advanced emphysema have been attempted for more than a century. Of the many attempted procedures, only giant bullectomy, lung transplantation, and lung-volume-reduction surgery have withstood the test of time and are currently being practiced. This article reviews each of these procedures and also develops a rational approach to selecting appropriate candidates for these 3 interventions.
Publication types
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Historical Article
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Review
MeSH terms
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Contraindications
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History, 20th Century
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History, 21st Century
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Humans
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Lung / surgery
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Lung Transplantation
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Patient Selection
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Pneumonectomy / methods
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Practice Guidelines as Topic
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Pulmonary Disease, Chronic Obstructive / history
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Pulmonary Disease, Chronic Obstructive / physiopathology
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Pulmonary Disease, Chronic Obstructive / surgery*
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Pulmonary Emphysema / physiopathology
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Pulmonary Emphysema / surgery*
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Pulmonary Surgical Procedures* / history
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Quality of Life*