Abstract
THERE is general if sometimes reluctant agreement that the emphysema-chronic-bronchitis complex in adults be designated chronic obstructive lung disease (COLD). To the casual observer surgery seems to offer little in the management of such an obviously "medical" disease. That it has a role, however circumscribed, is as much a reflection of the inadequacies of medical therapy as of the boundless optimism of the surgeon. What surgical maneuvers have been advocated in COLD, when are they applicable, and, in the light of present information, how effective are they? A convenient if not totally accurate classification might separate procedures that are designed . . .

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