Document Detail


Factors related to an early restoration of exercise capacity after major lung resection.
MedLine Citation:
PMID:  21874420     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: We attempted to identify the factors related to an early restoration of the exercise capacity after lung resection.
METHODS: Major lung resection was performed in 164 patients. Exercise testing and spirometry were performed before surgery, and 2 weeks and 1 month afterward. During exercise, the maximum oxygen uptake per minute per m(2) of body surface area (<Vdot>o(2)max/m(2)) was measured. The percent change of <Vdot>o(2)max/m(2) at 2 weeks and 1 month after surgery was calculated by setting the preoperative <Vdot>o(2)max/m(2) value as 100%. Patients were then assigned to the early restoration group or late restoration group according to their <Vdot>o(2)max/m(2) measured 2 weeks after surgery. Preoperative cardiopulmonary function, as well as various preoperative and intraoperative factors were compared between the two groups.
RESULTS: At 2 weeks after surgery, the mean <Vdot>o(2)max/m(2) was 80.9% compared with that before surgery, and was 88.1% at 1 month. A multivariate analysis showed that the surgical method used (thoracotomy and mediastinal lymph node dissection) had a significant effect on the postoperative restoration of the <Vdot>o(2)max/m(2).
CONCLUSION: An early restoration of exercise capacity after lung resection is possible in patients without mediastinal lymph node dissection and in those who have a small thoracotomy wound.
Authors:
Yoshinori Nagamatsu; Yasunori Iwasaki; Ryozo Hayashida; Masaki Kashihara; Tatsuya Nishi; Koichi Yoshiyama; Hideaki Yamana; Kazuo Shirouzu
Publication Detail:
Type:  Journal Article     Date:  2011-08-26
Journal Detail:
Title:  Surgery today     Volume:  41     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1228-33     Citation Subset:  IM    
Affiliation:
Department of Surgery, National Hospital Organization Omuta National Hospital, 1044-1 Tachibana, Ohmuta, Fukuoka, 837-0911, Japan.
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