[Evaluation of the exercise capacity recovery process after lung cancer surgery by exercise test and expire gas analysis].
This study was conducted to evaluate the numerical changes and the recovery process in exercise capacity over time, and to establish new criteria that will objectively evaluate the recovery in exercise capacity after lung surgery using an expired gas analysis incorporating an exercise test. The subjects consisted of 47 patients that underwent curative resection (only lobectomy) for lung cancer in the four years from 1989 to 1992 that were able to undergo expired gas analysis incorporating an exercise test before and after surgery. The expired gas analysis were performed within one week prior to surgery and over a period from 14 to 449 days after surgery, maximum oxygen consumption (VO2max) and anaerobic threshold (AT) measured, and the VO2max/m2 and AT/m2 were calculated as an index by dividing by the body surface area (m2). In addition, in order to examine the changes in exercise capacity after surgery, the presurgical values were used as 100, and the rate of change after surgery found. These rate were divided into the following measuring times, and the postsurgical changes over time analyzed. The postsurgical measuring times were divided into five groups from 14-30 days (n = 11), from 31-90 days (n = 25), from 91-180 days (n = 8), from 181-270 days (n = 19), and greater than 271 days (n = 8) after surgery.(ABSTRACT TRUNCATED AT 250 WORDS)
Nagamatsu
Y
Y
First Department of Surgery, Kurume University School of Medicine, Japan.
Ono
H
H
Hiraki
H
H
Matsuo
T
T
Fukuda
M
M
Mitsuoka
M
M
Hayashi
A
A
Hayashida
R
R
Yamana
H
H
Kakegawa
T
T
D000368:Aged; D000369:Aged, 80 and over; D001944:Breath Tests; D005080:Exercise Test; D017079:Exercise Tolerance; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000534:rehabilitation; D011184:Postoperative Period