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Video-Assisted Thoracic Surgery for Emphysema: Lung Volume Reduction Surgery, Concomitant Cancer Resection, and Volume Reduction Surgery and Bullectomy

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Minimally Invasive Thoracic and Cardiac Surgery

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Abstract

Surgery for emphysema was first introduced by Brantigan and colleagues in 1957. It however did not gain acceptance due to high morbidity, mortality and a lack of objective results [1]. Cooper and colleagues at Washington University in St. Louis revived surgery for emphysema by reporting on their initial experience in 20 patients in 1995, and subsequently on the early outcomes (up to 2 years) in 150 patients in 1996, and the long-term outcomes (up to 5 years) in 250 patients in 2003 [2–4]. The surgery was termed as lung volume reduction surgery (LVRS). Cooper and colleagues showed that in appropriately selected patients, bilateral LVRS can produce significant functional improvement lasting at least 5 years for most of these patients and a low inhospital mortality rate of 4.8% [4]. The National Emphysema Treatment Trial (NETT) investigators confirmed the efficacy of bilateral LVRS over medical therapy in a prospective randomized multicentre study [5–7]. Lung volume reduction surgery for emphysema is now a proven therapy despite earlier concerns and controversies regarding the efficacy.

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Author information

Authors and Affiliations

  1. Department of Surgery (MMC), Monash Medical Centre, Monash University, Level 5, Block E, 246 Clayton Road, Clayton, Melbourne, VIC, 3168, Australia

    Cliff K. C. Choong MBBS, FRACS, FRCS & Julian A. Smith MB, MS, FRACS, FACS, FCSANZ

  2. Department of Cardiothoracic Surgery, Southern Health, Monash Medical Centre, Clayton, Melbourne, VIC, Australia

    Julian A. Smith MB, MS, FRACS, FACS, FCSANZ

  3. Specialty Program, Southern Health, Monash Medical Centre, Clayton, Melbourne, VIC, Australia

    Julian A. Smith MB, MS, FRACS, FACS, FCSANZ

  4. Division of Thoracic Surgery, University of Pennsylvania Health System, 3400 Spruce Street 6 Silverstein, Philadelphia, PA, 19104, USA

    Joel David Copper M.D., FACS

  5. Thoraxzentrum Zurich, Hirslanden Clinic, Witellikerstrasse 40, CH-8008, Zurich, Switzerland

    Rolf G. C. Inderbitzi M.D.

Authors
  1. Cliff K. C. Choong MBBS, FRACS, FRCS
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  2. Julian A. Smith MB, MS, FRACS, FACS, FCSANZ
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  3. Joel David Copper M.D., FACS
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  4. Rolf G. C. Inderbitzi M.D.
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Corresponding author

Correspondence to Cliff K. C. Choong MBBS, FRACS, FRCS .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

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© 2012 Springer-Verlag Berlin Heidelberg

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Choong, C.K.C., Smith, J.A., Copper, J.D., Inderbitzi, R.G.C. (2012). Video-Assisted Thoracic Surgery for Emphysema: Lung Volume Reduction Surgery, Concomitant Cancer Resection, and Volume Reduction Surgery and Bullectomy. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_15

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  • DOI: https://doi.org/10.1007/978-3-642-11861-6_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

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