title: Preoperative prediction of lung function in pneumonectomy by spirometry and lung perfusion scintigraphy.
abstract: BACKGROUND
  Nowadays an increasing number of lung resections are being done because of the rising prevalence of lung cancer that occurs mainly in patients with limited lung function, what is caused by common etiologic factor - smoking cigarettes. Loss of lung tissue in such patients can worsen much the postoperative pulmonary function. So it is necessary to asses the postoperative pulmonary function especially after maximal resection, i.e. pneumonectomy.
  
  
  OBJECTIVE
  To check over the accuracy of preoperative prognosis of postoperative lung function after pneumonectomy using spirometry and lung perfusion scinigraphy.
  
  
  METHODS
  The study was done on 17 patients operated at the Clinic for thoracic surgery, who were treated previously at the Clinic for Pulmonary Diseases "Podhrastovi" in the period from 01. 12. 2008. to 01. 06. 2011. Postoperative pulmonary function expressed as ppoFEV1 (predicted postoperative forced expiratory volume in one second) was prognosticated preoperatively using spirometry, i.e.. simple calculation according to the number of the pulmonary segments to be removed and perfusion lung scintigraphy.
  
  
  RESULTS
  There is no significant deviation of postoperative achieved values of FEV1 from predicted ones obtained by both methods, and there is no significant differences between predicted values (ppoFEV1) obtained by spirometry and perfusion scintigraphy.
  
  
  CONCLUSIONS
  It is necessary to asses the postoperative pulmonary function before lung resection to avoid postoperative respiratory failure and other cardiopulmonary complications. It is absolutely necessary for pneumonectomy, i.e.. maximal pulmonary resection. It can be done with great possibility using spirometry or perfusion lung scintigraphy.
authors: Clinic for pulmonary diseases and TB "Podhrastovi", Clinical center of Sarajevo University, Bosnia and Herzegovina.
authors: Vesna
authors: V
authors: Cukic
keywords: perfusion lung scintigraphy.; pneumonectomy; spirometry
references: Med Clin North Am. 1993 Mar;77(2):309-25
references: 8441297
references: Thorax. 2001 Feb;56(2):89-108
references: 11209097
references: Ann Thorac Surg. 1996 May;61(5):1494-500
references: 8633965
references: Am Rev Respir Dis. 1979 Feb;119(2):293-310
references: 373529
references: Eur Respir J. 2005 Apr;25(4):594-9
references: 15802330
references: Ann Thorac Surg. 1988 Nov;46(5):549-52
references: 3190329
references: Chest. 1971 Apr;59(4):383-91
references: 5573198
references: Mater Sociomed. 2012;24(4):223-6
references: 23922531
references: Respiration. 2002;69(6):482-9
references: 12456999
references: J Thorac Cardiovasc Surg. 1995 Feb;109(2):275-81; discussion 281-3
references: 7853881
references: Dis Chest. 1968 Aug;54(2):112-8
references: 5665297
references: Acta Anaesthesiol Scand Suppl. 1975;57:39-45
references: 1061480
references: Respiration. 1973;30(4):329-44
references: 4725983
references: J Thorac Cardiovasc Surg. 1993 Feb;105(2):347-51; discussion 351-2
references: 8429663
references: Am J Respir Crit Care Med. 1994 Oct;150(4):947-55
references: 7921468
references: Am Rev Respir Dis. 1975 Apr;111(4):379-87
references: 1124884
references: J Thorac Cardiovasc Surg. 1980 Oct;80(4):535-43
references: 7421288
references: Chest. 1986 Aug;90(2):222-8
references: 3731894
references: Chest. 2003 Jan;123(1 Suppl):105S-114S
references: 12527570
references: Ann Thorac Surg. 1997 Aug;64(2):328-32; discussion 332-3
references: 9262569
references: Ann Thorac Surg. 1990 Jun;49(6):909-14; discussion 915
references: 2369189
references: Scand J Respir Dis. 1966;47(3):215-24
references: 5294126
references: Chest. 1975 Sep;68(3):288-96
references: 1157532
references: Chest. 1994 Mar;105(3):753-9
references: 8131537
references: Am Rev Respir Dis. 1989 Apr;139(4):902-10
references: 2930068
references: Br J Anaesth. 1969 Nov;41(11):967-71
references: 4901338
references: Chest. 1986 Jan;89(1):127-35
references: 3940774