Surgical Interventions for Lung Diseases
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Questions and Answers

What is a notable benefit of LVRS for patients with upper-lobe predominant disease?

  • Fewer COPD exacerbations (correct)
  • No medication required post-operatively
  • Decreased exercise capacity
  • Improved survival time to lung transplantation

    • In LVRS, no benefit was observed for patients with forced vital capacity less than what percentage?

  • 20% (correct)
  • 40%
  • 30%
  • 10%

    • Why is LVRS recommended for select patients despite associated higher perioperative morbidity and mortality?

  • It guarantees long-term survival
  • It leads to cost savings
  • It benefits patients with severe lung hyperinflation and low exercise tolerance (correct)
  • It eliminates the need for medical therapy

    • What advantage does lung transplantation offer over LVRS in terms of lung function improvement?

    <p>Sustained improvement</p> Signup and view all the answers

    What has been a limitation in the long-term outcomes comparison of lung transplantation and LVRS?

    <p>Unknown outcomes</p> Signup and view all the answers

    Which procedure offers advantages specifically to severe emphysema patients?

    <p>Double lung transplantation</p> Signup and view all the answers

    What is the main obstacle to lung transplantation for COPD patients?

    <p>Scarcity of organs</p> Signup and view all the answers

    What is the aim of the NHLBI-sponsored clinical trial mentioned in the text?

    <p>To determine if LVRS improves survival in severe emphysema patients</p> Signup and view all the answers

    What does LVRS aim to remove in patients with severe emphysema?

    <p>Emphysematous lung tissue</p> Signup and view all the answers

    What has LVRS been shown to increase in patients with severe emphysema?

    <p>Lung elastic properties</p> Signup and view all the answers

    Which factor makes patients likely to benefit from lung volume reduction surgery (LVRS) according to the National Emphysema Treatment Trial (NETT)?

    <p>Low BODE index and lower exercise capacity</p> Signup and view all the answers

    What is a key concern regarding the benefits of lung volume reduction surgery (LVRS) according to the text?

    <p>Clear long-term clinical improvements</p> Signup and view all the answers

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