First Time User? Sign Up Now
First Time User? Enroll now.
Home > Health Library > COPD: Lung Volume Reduction Surgery
In lung volume reduction surgery (LVRS), a large area of damaged lung is removed to allow the remaining lung tissue to expand when you breathe in. This surgery is done only for people with severe chronic obstructive pulmonary disease (COPD) or with certain types of emphysema.
The National Emphysema Treatment Trial has examined the results of LVRS. The results of this study report that people not considered good candidates for this surgery include people who have:footnote 1
For other people LVRS, compared to medical treatment, may provide an increased ability to exercise and may result in fewer symptoms. LVRS also can reduce the number of COPD exacerbations for some people.footnote 2 But it does not improve the survival rate compared to medical treatment, except for people who have emphysema mainly in the upper portion of the lungs and who are not able to exercise well even after pulmonary rehabilitation.footnote 3
Although selecting candidates for LVRS is subjective, criteria identifying good candidates for LVRS include people:footnote 4
The decision to have this surgery is not an easy one. Not all patients who have emphysema or COPD will benefit from this surgery. Detailed testing is needed to find out if a person is likely to be helped by LVRS. Talk with your doctor about all of the treatment options available for COPD.
National Emphysema Treatment Trial Research Group (2003). A randomized trial comparing lung-volume reduction surgery with medical therapy for severe emphysema. New England Journal of Medicine, 348: 2059–2073.
Washko GR, et al. (2008). The effect of lung volume reduction surgery on chronic obstructive pulmonary disease exacerbations. American Journal of Respiratory and Critical Care Medicine, 177(2): 164–169.
Naunheim KS, et al. (2006). Long-term follow-up of patients receiving lung-volume-reduction surgery versus medical therapy for severe emphysema by the National Emphysema Treatment Trial Research Group. Annals of Thoracic Surgery, 82(2): 431–443.
Ciccone AM, et al. (2003). Long-term outcome of bilateral volume reduction in 250 consecutive patients with emphysema. Journal of Thoracic and Cardiovascular Surgery, 125(3): 513–525.
Current as of: June 9, 2019
Author: Healthwise StaffMedical Review: E. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineDavid C. Stuesse MD - Cardiac and Thoracic Surgery
Current as of:
June 9, 2019
Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & David C. Stuesse MD - Cardiac and Thoracic Surgery
To learn more about Healthwise, visit Healthwise.org.
© 1995-2019 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
115 Kildaire Park Drive
Cary, NC 27518
781 Avent Ferry Road
REX Healthcare of Holly Springs, Suite 200
Holly Springs, NC 27540
4414 Lake Boone Trail
Raleigh, NC 27607
11081 Forest Pines Drive
Raleigh, NC 27614
UNC REX Healthcare4420 Lake Boone TrailRaleigh, NC 27607, USA919-784-3100
Chosen for Excellence
Co-Worker & Physician Login
UNC Health Talk
Copyright 2020 UNC Health Care. All rights reserved.