Although bilateral lung volume reduction surgery has been shown to be safe and effective in carefully selected patients with upper lobe-predominant emphysema and hyperinflation, bronchoscopic lung volume reduction via placement of endobronchial valves is conventionally performed only unilaterally. Furthermore, it is not offered to patients with interlobar collateral ventilation because of the lack of clinical efficacy. We describe two novel management approaches including (1) bilateral bronchoscopic lung volume reduction, and (2) a combined thoracic surgical and interventional pulmonary procedure involving surgical fissure completion followed by endobronchial valve placement, which culminated in safe and effective lung volume reduction of both lungs along with an excellent patient outcome.

尽管双侧肺减容手术已被证明对精心挑选的上叶肺气肿和过度充气患者安全有效，但通过支气管内瓣膜放置的支气管镜肺减容术通常仅在单侧进行。此外，由于缺乏临床疗效，它不适用于叶间侧支通气患者。我们描述了两种新的管理方法，包括 (1) 双侧支气管镜下肺减容术，以及 (2) 胸外科和介入性肺部手术的结合，包括完成肺裂手术和支气管内瓣膜放置，最终实现双肺安全有效的肺减容术以及出色的患者疗效。