Document Detail


Postoperative change in pulmonary function of the ipsilateral preserved lung after segmentectomy versus lobectomy.
MedLine Citation:
PMID:  19716312     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Anatomical repositioning and expansion of the ipsilateral preserved lung after lung resection may influence postoperative pulmonary function. To study the postoperative changes in pulmonary function of the preserved lung after lobectomy compared with that after segmentectomy, the preoperative and postoperative forced expiratory volume in 1s (FEV(1)) of the ipsilateral non-operated lobe was measured using perfusion single-photon-emission computed tomography and computed tomography (SPECT/CT).
METHODS: Eighty-nine patients (n=24; lobectomy, n=65; segmentectomy) who were examined with pulmonary function test and perfusion SPECT/CT both before and after surgery were enrolled in this study. The FEV(1) values of the ipsilateral non-operated lobes before and after surgery were measured using perfusion SPECT/CT.
RESULTS: The FEV(1) of the ipsilateral non-operated lobe increased after segmentectomy of the right upper lobe (p=0.07) and after both lobectomy and segmentectomy of the left upper lobe (p=0.04 and 0.001, respectively), but decreased after lobectomy of the right upper lobe (p=0.06). In the right upper lobe, the percentage change in FEV(1) of the ipsilateral non-operated lobe after lobectomy was significantly lower than that after segmentectomy (p<0.001). The FEV(1) of the ipsilateral non-operated lobe had not significantly changed after surgery on the lower lobes.
CONCLUSIONS: The FEV(1) of the ipsilateral non-operated lobes increased after surgery on left upper lobe, whereas it decreased after right upper lobectomy. The surgery on lower lobe did not affect the FEV(1) of the ipsilateral non-operated lobes. Our data may facilitate determining the indications for lung cancer surgery, especially in patients with tumours involving the upper lobes.
Authors:
Kentaro Yoshimoto; Hiroaki Nomori; Takeshi Mori; Yasuomi Ohba; Kenji Shiraishi; Kuniyuki Tashiro; Shinya Shiraishi
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-27
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  37     ISSN:  1873-734X     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  36-9     Citation Subset:  IM    
Copyright Information:
Copyright 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Carcinoma, Non-Small-Cell Lung / physiopathology,  radiography,  surgery*
Forced Expiratory Volume
Humans
Lung Neoplasms / physiopathology,  radiography,  surgery*
Middle Aged
Pneumonectomy / methods*
Postoperative Period
Tomography, Emission-Computed, Single-Photon / methods
Tomography, X-Ray Computed / methods
Vital Capacity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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