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Both groups had a mean follow-up of 57 months with differences in survival at 5 years (11% in the LVRS group and 5% in the control group, P=0.001), showing lobectomy to be a safe technique, even in patients with more severe and higher-risk emphysema

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The funnel plot showed asymmetry between studies on both sides, suggesting the potential presence of publication bias (Figure 8)

doi: 10.55549/epstem.1604099 46 ZalFAhmadiPDavariMKhademiFAkbarzadeh JahromiMAnvarZet al