title: [Perioperative Management and Minimally Invasive Pulmonary Resection-early Stage Rehabilitation, Postoperative Early Ambulation].
abstract: In chest surgery, minimal invasiveness is an important topic. Video-assisted thoracic surgery and a less radical resection may be effective for decreasing postoperative complications or postoperative mortality rates. Respiratory rehabilitation is useful for preventing postoperative complications, and it is used pre- and postoperatively for patients with lung cancer and chronic obstructive pulmonary disease (COPD) in most hospitals. Although it is well adapted to patients with a lower forced expiratory volume in 1 second, higher stages of COPD, severe emphysematous changes on computed tomography, and performance status ≥2, there are no definitive criteria for rehabilitation. Before initiating respiratory rehabilitation for patients, it is important to evaluate their risk factors, such as sputum production, articular disturbances, or activities. There are many kinds of rehabilitation, but preoperative respiratory rehabilitation is especially effective in inoperable cases to improve respiratory function, to change their status to operable, and to decrease periods of chest-tube drainage or hospital admission. It should be used for minimally invasive chest surgery from now on.
authors.affiliation: Division of Chest Surgery, Toho University, School of Medicine, Tokyo, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Iyoda
authors.forename: Satoru
authors.initials: S
authors.lastname: Ebihara
mesh_terms: D004434:Early Ambulation; D005541:Forced Expiratory Volume; D006801:Humans; D008175:Lung Neoplasms; D011013:Pneumonectomy; D011183:Postoperative Complications; D029424:Pulmonary Disease, Chronic Obstructive; D020775:Thoracic Surgery, Video-Assisted