Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy.
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.
Nakata
M
M
Clinical Research, Department of Surgery, National Shikoku Cancer Center Hospital, Matsuyama, Japan. mnakata@shikoku-cc.go.jp
Saeki
H
H
Yokoyama
N
N
Kurita
A
A
Takiyama
W
W
Takashima
S
S
D000368:Aged; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008168:Lung / Q000502:physiology*; D008297:Male; D010100:Oxygen / Q000097:blood; D010366:Peak Expiratory Flow Rate; D011013:Pneumonectomy / Q000379:methods*; D011184:Postoperative Period; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D014797:Vital Capacity
D010100:Oxygen