PT - JOURNAL ARTICLE AU - Samuel Clark AU - Zaid Zoumot AU - Claire Davey AU - Helen Purcell AU - Olivia Bamsey AU - Michael Polkey AU - Michael Dusmet AU - Eric Lim AU - Simon Jordan AU - Nicholas Hopkinson TI - 12 years of thoracic surgery for emphysema at The Royal Brompton Hospital DP - 2013 Sep 01 TA - European Respiratory Journal PG - P4335 VI - 42 IP - Suppl 57 4099 - http://erj.ersjournals.com/content/42/Suppl_57/P4335.short 4100 - http://erj.ersjournals.com/content/42/Suppl_57/P4335.full SO - Eur Respir J2013 Sep 01; 42 AB - Lung Volume Reduction surgery (LVRS) improves symptoms, quality of life and survival in patients with heterogeneous emphysema and low exercise capacity. The operation remains underutilised despite recommendations in global and national guidelines.This may be because of concerns about morbidity,the risk of prolonged hospital stay and roughly 5% surgical mortality.We retrospectively reviewed all surgeries performed for emphysema at our institution from January 2000 to September 2012 to assess mortality, morbidity and efficacy in clinical practice.View this table:View this table:Unilateral LVRS is associated with similar benefits and is a safer procedure than bilateral LVRS. More widespread application of the technique should be encouraged in patients with severe heterogeneous upper lobe disease with hyperinflation.