title: Implication of altered pulmonary function in pneumonectomy for tuberculous destroyed lung.
abstract: Twelve patients undergoing pneumonectomy for tuberculous destroyed lung were studied to determine the value of preoperative spirometry in the assessment of their pulmonary reserve, and prediction of their post-operative morbidity. Preoperatively, the functional losses were evidenced by mean values of FVC of 56.4%, FEV1 of 48.9% and PEFR of 65.8%--all expressed as percentage of predicted normals. No significant alteration occurred in pulmonary function post-pneumonectomy. All patients were in Class 1 (HYHA) pre- and post-operatively. It is concluded that operability in these patients cannot be based on spirometry alone but must include the preoperative assessment of clinical (symptomatic) stage and cardiovascular status.
authors: Department of Surgery, College of Medicine, University College Hospital, Ibadan, Nigeria.
authors: O A
authors: OA
authors: Adebo
mesh_terms: D000293:Adolescent; D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D011013:Pneumonectomy / Q000009:adverse effects; D011379:Prognosis; D012129:Respiratory Function Tests; D013147:Spirometry; D014397:Tuberculosis, Pulmonary / Q000503:physiopathology*