Lung volume reduction surgery—a narrative review of clinical evidence, patient selection and peri-operative care

Abstract

Background and objective: Lung volume reduction surgery (LVRS) in patients with severe emphysema aims to remove the least functional part of the lungs to improve airflow, diaphragmatic and chest wall mechanics and alveolar gas exchange in the remaining lungs.Methods: This article aims to review the evidence, available guidance and provide insight into the perioperative management of patients undergoing surgery. A pubmed and Scopus review was conducted February 2022 for English articles on LVRS. Included papers are described narratively.