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Emphysema (not chronic bronchitis) causes air sacs to become over inflated. When air sacs get extremely large, they are called bullae (bull-eye). These extra-large air sacs are pressing on healthier lung, preventing the healthier air sacs from working properly. Bullectomy is a surgical procedure that can remove giant bullae which occupy greater than one third of the right or left chest. Very few people have these giant bullae. Most people with COPD from emphysema have many small areas of damaged air sacs in their lungs. These small damaged air sacs are often scattered throughout both lungs and therefore would not benefit from a bullectomy.
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