The effect of thoracic surgery on pulmonary function

1995 ◽  
Vol 4 (5) ◽  
pp. 352-354 ◽  
Author(s):  
KK Hallfeldt ◽  
M Siebeck ◽  
O Thetter ◽  
L Schweiberer
Keyword(s):  
Retrospective Study ◽  
Thoracic Surgery ◽  
Pulmonary Function ◽  
Postoperative Morbidity ◽  
Pulmonary Resection ◽  
Forced Expiratory Volume ◽  
Surgical Trauma ◽  
Operative Trauma ◽  
Postoperative Pulmonary Function ◽  
Main Factor

BACKGROUND: Pulmonary function is a main factor influencing postoperative morbidity and mortality in thoracic surgery. OBJECTIVE: To determine the significance of surgical trauma on postoperative pulmonary function by comparing the preoperative forced expiratory volume in 1 second with that obtained 14 days after surgery. METHODS: A retrospective study was conducted on 385 consecutive patients undergoing elective thoracic surgery over 3 years. RESULTS: Operative trauma alone effected a reduction of approximately 0.6 L per second in the value of forced expiratory volume in 1 second irrespective of the extent of pulmonary resection. Significant differences in the overall reduction among enucleation, segmental resection, lobectomy, and pneumonectomy were not observed. CONCLUSIONS: The data indicated that the remaining lung tissue was severely compromised throughout the postoperative period and that surgical trauma was the main factor influencing postoperative pulmonary function for at least 2 weeks.

scholarly journals Pulmonary function changes after different extent of pulmonary resection under video-assisted thoracic surgery

2018 ◽  
Vol 10 (4) ◽  
pp. 2331-2337 ◽  
Author(s):  
Zhitao Gu ◽  
Huimin Wang ◽  
Teng Mao ◽  
Chunyu Ji ◽  
Yangwei Xiang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Function ◽  
Pulmonary Resection ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Thoracoscopic left S1 + 2 segmentectomy as a good resolution for preserving pulmonary function

2020 ◽  
Vol 31 (3) ◽  
pp. 331-338
Author(s):  
Shinya Tane ◽  
Wataru Nishio ◽  
Yusuke Fujibayashi ◽  
Megumi Nishikubo ◽  
Yuki Nishioka ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Lung Volume ◽  
Good Alternative ◽  
Forced Expiratory Volume ◽  
Good Resolution ◽  
Postoperative Function ◽  
3 Dimensional ◽  
Postoperative Pulmonary Function ◽  
Left Upper Lobectomy ◽  
Preservation Rate

Abstract OBJECTIVES Segmentectomies such as S1 + 2, S1 + 2+3 and S4 + 5 segmentectomy are used to treat patients with non-small-cell lung cancer (NSCLC) in the left upper lobe. However, the preservable lung volume and changes after such segmentectomies remain unknown. We compared the residual pulmonary function after thoracoscopic segmentectomy or lobectomy in the left upper lobe and examined the efficacy of S1 + 2 segmentectomy regarding postoperative pulmonary function. METHODS Patients with left upper lobe NSCLC who underwent thoracoscopic segmentectomy or lobectomy were included. Spirometry and computed tomography were performed before and 6 months after resection, and the ipsilateral preserved lobe volume was calculated using 3-dimensional computer tomography. The percentage of postoperative/preoperative forced expiratory volume in 1 s and actual/predicted regional forced expiratory volume in 1 s (preservation rate) in the residual lobe were compared. RESULTS Eighty-eight patients underwent lobectomy and 70 patients underwent segmentectomy (23 S1 + 2, 35 S1 + 2+3 and 12 S4 + 5 segmentectomies). The percentage of postoperative/preoperative forced expiratory volume in 1 s was 97 in S1 + 2, 82 in S1 + 2+3, 86 in S4 + 5 segmentectomy and 73 in left upper lobectomy, indicating that segmentectomy could be a meaningful approach to preserve pulmonary function. The preservation rate was 83% in S1 + 2 and 62% in S1 + 2+3 segmentectomy and was significantly higher in S1 + 2 than in S1 + 2+3 segmentectomy (P < 0.001). CONCLUSIONS Postoperative pulmonary function and the preservable lung volume of the residual lobe after thoracoscopic S1 + 2 segmentectomy were well-preserved among other segmentectomies and lobectomy. Thoracoscopic S1 + 2 segmentectomy is a good alternative for preserving postoperative function.

Prediction of Postoperative Pulmonary Function Following Thoracic Surgery for Bronchial Carcinoma

Angiology ◽  
1991 ◽  
Vol 42 (12) ◽  
pp. 985-989 ◽  
Author(s):  
A. Cordiner ◽  
F. De Carlo ◽  
R. De Gennaro ◽  
F. Pau ◽  
F. Flore
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Function ◽  
Bronchial Carcinoma ◽  
Postoperative Pulmonary Function

scholarly journals Comparison of Pulmonary Function After Selective Anterior Versus Posterior Fusion for the Correction of Thoracolumbar and Lumbar Adolescent Idiopathic Scoliosis

2019 ◽  
Vol 10 (4) ◽  
pp. 433-437
Author(s):  
Satoru Demura ◽  
Kota Watanabe ◽  
Teppei Suzuki ◽  
Toshiki Saito ◽  
Takuya Yamamoto ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Pulmonary Function ◽  
Spinal Fusion ◽  
Anterior Approach ◽  
Forced Expiratory Volume ◽  
Postoperative Pulmonary Function ◽  
Radiographic Measurements ◽  
Significant Difference

Study Design: Retrospective multicenter study. Objectives: To compare the selective anterior spinal fusion (ASF) versus posterior spinal fusion (PSF) on postoperative pulmonary function testing (PFT) whether thoracotomy with separation of the diaphragm by anterior approach influences the PFT in thoracolumbar and lumbar adolescent idiopathic scoliosis (AIS). Methods: A multicenter series of AIS patients who underwent selective spinal fusion were retrospectively reviewed. Seventy-nine female patients were included (mean 15.8 years). There were 35 patients in the ASF group and 44 patients in the PSF group. Patient demographics, radiographic measurements, and PFT data from preoperative to 2-year follow-up were analyzed. Results: Preoperatively, there were no significant differences in PFTs between the groups. The ASF group patients were more likely to undergo shorter fusions (4.5 instrumented vertebral levels) than those in the PSF group (5.2 levels). At 2-year follow-up, forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) in ASF group were statistically lower than those in PSF group. When comparing preoperative and 2-year changes on each procedure, only %FVC showed significant difference in ASF while FVC, FEV1, and %FEV1 did not. Meanwhile, the ASF group showed a significant decrease in FVC at 6 and 12 months compared to preoperative values. In PSF group, there was a decrease at 6 months, returned to preoperative value at 1-year follow-up. Conclusions: Pulmonary function after ASF and PSF was similar at 2 years; however, anterior group did not return to the baseline at 6 months and 1 year suggesting anterior approach may affect early postoperative pulmonary function.

scholarly journals Spirometry Function after Decortication for Chronic Pleural Empyema: A Retrospective Study

2020 ◽  
Author(s):  
Subhash Minda ◽  
Lata Khatnani Koneru ◽  
Nimish Rai
Keyword(s):  
Retrospective Study ◽  
Pulmonary Function ◽  
Postoperative Period ◽  
Demographic Data ◽  
Pleural Empyema ◽  
Forced Expiratory Volume ◽  
Repeated Measure ◽  
The Mean ◽  
Trapped Lung ◽  
One Year

Introduction: Chronic Pleural Empyema (CPE) is a major medical concern. It gives rise to “trapped lung” due to the thickened pleural peel. This results in impairment of pulmonary function. The treatment of choice for CPE is open thoracotomy decortication. Aim: To evaluate changes in Pulmonary Function Test (PFT) in an immediate postoperative period of decortication for CPE. Materials and Methods: A retrospective study was conducted in 25 patients who had undergone decortication for CPE in the last one year (from October 2018 to September 2019) were included. Baseline clinical and demographic data were collected. Duration of ICU stay, hospital stay and complications were reviewed. In Preoperative period Forced Vital Capacity (FVC) and Forced Expiratory Volume In First Second (FEV1) was investigated. It was again repeated after 3 and 6 months of postoperative period. Preoperative and postoperative data at 3rd and 6th month were analysed. Percentage change in PFT was assessed. Repeated measure ANOVA were used for statistical analysis. Results: Preoperatively the mean FVC was 2.09 L (56.63%) and the mean FEV1 was 1.82 L (60.26%). The mean FVC, 3 months after surgery was 2.27 L (61.52%) and after 6 months was 2.53 L (68.56%). The mean FEV1, 3 months after surgery was 1.92 L (63.58%) and after 6 months was 2.17 L (71.58%). Spirometry values of FEV1 and FVC improved at 3rd and 6th month, postoperatively. Improvement in these Spirometric values after 6 months was quantified statistically significant. Conclusion: Decortication for CPE resulted in progressive improvement in spirometry values in a follow-up period of 3 and 6 months.

Assessment of factors affecting short-term pulmonary functions following cardiac surgery: A prospective observational study

2021 ◽  
pp. 021849232110100
Author(s):  
Neetika Katiyar ◽  
Sandeep Negi ◽  
Sunder Lal Negi ◽  
Goverdhan Dutt Puri ◽  
Shyam Kumar Singh Thingnam
Keyword(s):  
Cardiac Surgery ◽  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Pulmonary Complications ◽  
Operative Morbidity ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Significant Impairment

Background Pulmonary complications after cardiac surgery are very common and lead to an increased incidence of post-operative morbidity and mortality. Several factors, either modifiable or non-modifiable, may contribute to the associated unfavorable consequences related to pulmonary function. This study was aimed to investigate the degree of alteration and factors influencing pulmonary function (forced expiratory volume in one second (FEV1) and forced vital capacity), on third, fifth, and seventh post-operative days following cardiac surgery. Methods This study was executed in 71 patients who underwent on-pump cardiac surgery. Pulmonary function was assessed before surgery and on the third, fifth, and seventh post-operative days. Data including surgical details, information about risk factors, and assessment of pulmonary function were obtained. Results The FEV1 and forced vital capacity were significantly impaired on post-operative days 3, 5, and 7 compared to pre-operative values. The reduction in FEV1 was 41%, 29%, and 16% and in forced vital capacity was 42%, 29%, and 19% consecutively on post-operative days 3, 5, and 7. Multivariate analysis was done to detect the factors influencing post-operative FEV1 and forced vital capacity. Discussion This study observed a significant impairment in FEV1 and forced vital capacity, which did not completely recover by the seventh post-operative day. Different factors affecting post-operative FEV1 and forced vital capacity were pre-operative FEV1, age ≥60, less body surface area, lower pre-operative chest expansion at the axillary level, and having more duration of cardiopulmonary bypass during surgery. Presence of these factors enhances the chance of developing post-operative pulmonary complications.

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