肺気腫：上肺肺容量減少手術は緩和的治療として有用？

lung volume reduction (慢性肺気腫手術) 肺容量減少術

否定的に受け止められた、あのNational Emphysema Treatment Trialの再考察・・・で、上肺部のLVRは緩和治療的に役立つという主張

Integrating Health Status and Survival Data
The Palliative Effect of Lung Volume Reduction Surgery
American Journal of Respiratory and Critical Care Medicine Vol 180. pp. 239-246, (2009)

P2ながら、以下の論文もあわせ見ると・・・上肺野限定、死亡率や肺機能改善より緩和的な目的に・・・向きが変わってきているような印象をもつ
　↓

Biologic Lung Volume Reduction in Advanced Upper Lobe Emphysema
Phase 2 Results
American Journal of Respiratory and Critical Care Medicine Vol 179. pp. 791-798, (2009)

cf.
Effects of Lung Volume Reduction Surgery on Gas Exchange and Breathing Pattern During Maximum Exercise Chest May 2009 135:1268-1279;