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Surgical Management

There is just a few known surgical management for Emphysema as of 2010.


Below are what we have researched:

Lung volume reduction surgery (LVRS) is a surgical procedure for COPD patients
especially those with emphysema. Parts of the lung that are particularly damaged by
emphysema are removed, allowing the remaining, relatively good lung to expand and
work better. It can can improve the quality of life for certain carefully selected patients. It
can be done by different methods, some of which are minimally invasive.

Conventional LVRS involves resection of the most severely affected areas of


emphysematous, non-bullous lung (aim is for 20-30%). This is a surgical option
involving a mini-thoracotomy for patients suffering end stage COPD due to underlying
emphysema, and can improve lung elastic recoil as well as diaphragmatic function.

In July 2006 a new treatment, placing tiny valves in passages leading to diseased
lung areas, was announced to have good results, but 7% of patients suffered partial
lung collapse.

The only known "cure" for emphysema is lung transplant, but “few” patients are
strong enough physically to survive the surgery. The combination of a patient's age,
oxygen deprivation and the side-effects of the medications used to treat emphysema
cause damage to the kidneys, heart and other organs. Surgical transplantation also
requires the patient to take an anti-rejection drug regimen which suppresses the
immune system, and can lead to microbial infection of the patient. Patients who think
they may have contracted the disease are recommended to seek medical attention as
soon as possible.

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