| Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy. | |
| | |
MedLine Citation:
|
PMID: 11016337 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Whether video-assisted thoracic surgery (VATS) improves postoperative pulmonary function is still controversial. We compared postoperative pulmonary function after VATS lobectomy and standard lobectomy. METHODS: Eleven patients who had undergone standard lobectomy and 10 patients who had undergone VATS lobectomy were studied. Arterial blood gas analyses were performed on the 4th, 7th, and 14th postoperative days. Pulmonary function, including forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1.0), and peak flow rate (PFR) were measured on the 7th and 14th postoperative days (early phase), and approximately 1 year after surgery (late phase). RESULTS: Pulmonary function, as assessed with arterial oxygen partial pressure (PaO2) (p = 0.054), arterial oxygen saturation (O2SAT) (p = 0.063), FVC (p = 0.10), and FEV1.0 (p = 0.08), was better after VATS lobectomy than after thoracotomy on the 7th postoperative day. PFR was significantly better after VATS on both the 7th and 14th postoperative days (p = 0.008 and p = 0.03, respectively). CONCLUSIONS: VATS lobectomy had advantages on early postoperative pulmonary function. We conclude that VATS lobectomy is a beneficial alternative to standard thoracotomy, especially for patients with poor pulmonary reserve. |
| | |
Authors:
|
M Nakata; H Saeki; N Yokoyama; A Kurita; W Takiyama; S Takashima |
Related Documents
:
|
6778097 - Pulmonary sarcoidosis in childhood. 16140807 - Results of preoperative pulmonary function testing of adolescents with idiopathic scoli... 17962367 - Roles of t lymphocytes in pulmonary fibrosis. 9516877 - Pulmonary alveolar proteinosis: diagnosis using routinely processed smears of bronchoal... 19224677 - Suspicion, diagnosis, and successful surgical treatment of anomalous origin of the ante... 9626447 - Emergent z stent placement for treatment of cor pulmonale due to pulmonary emboli after... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 70 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2000 Sep |
Date Detail:
|
Created Date: 2000-10-17 Completed Date: 2000-10-17 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 938-41 Citation Subset: AIM; IM |
Affiliation:
|
Clinical Research, Department of Surgery, National Shikoku Cancer Center Hospital, Matsuyama, Japan. mnakata@shikoku-cc.go.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Female Forced Expiratory Volume Humans Lung / physiology* Male Oxygen / blood Peak Expiratory Flow Rate Pneumonectomy / methods* Postoperative Period Thoracic Surgery, Video-Assisted* Thoracotomy* Vital Capacity |
| Chemical | |
Reg. No./Substance:
|
7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Inhibition of NF-kappaB sensitizes non-small cell lung cancer cells to chemotherapy-induced apoptosi...
Next Document: Pneumoperitoneum after concomitant resection of the right middle and lower lobes (bilobectomy).