Observational analysis showed no clear advantage of lung volume reduction surgery over bronchoscopic volume reduction in reducing emphysema areas.
Neither LVRS nor BLVR seem to be superior in sparing or eliminating still functional tissue, as both methods showed no differences in reduction of LAA. This information might contribute to the decision at an interdisciplinary emphysema board, where all cases are preferably discussed.
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Rotz et al. (2025) studied this question.
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