[Lung function following sleeve bronchoplastic lobectomy for bronchogenic carcinoma].
Twenty-five patients who underwent upper sleeve lobectomy for lung cancer were studied by spirometric examination to evaluate postoperative pulmonary function, including Vital Capacity (VC), %Vital Capacity (%VC), Forced Expiratory Volume in one second (FEV1.0), and Forced Expiratory Volume in one second as a percentage of the forced vital capacity (FEV1.0%). The results of the patients with bronchoplasty were compared with those of patients with lobectomy alone and of patients with pneumonectomy. Lung function was periodically examined postoperatively following bronchoplasty. VC, %VC and FEV1.0 were decreased postoperatively in the patients with upper sleeve lobectomy, while FEV1.0% was increased. There were no differences in postoperative %VC or FEV1.0% between the patients with bronchoplasty and those with upper lobectomy alone. However, the postoperative %VC of the patients with pneumonectomy was significantly decreased compared with patients who underwent postoperative %VC of the patients with pneumonectomy was significantly decreased compared with patients who underwent bronchoplasty or lobectomy alone. %VC in the patients with bronchoplasty was decreased at 3 months after operation, but it to gradually returned to the preoperative value by 13 to 24 months after operation.
Ayabe
H
H
First Department of Surgery, Nagasaki University School of Medicine, Japan.
Oka
T
T
Tsuji
H
H
Hara
S
S
Kimino
K
K
Tagawa
Y
Y
Kawahara
K
K
Tomita
M
M
D000328:Adult; D000368:Aged; D001980:Bronchi / Q000601:surgery*; D002283:Carcinoma, Bronchogenic / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008175:Lung Neoplasms / Q000503:physiopathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D011184:Postoperative Period; D012129:Respiratory Function Tests