P-120THE EVALUATION OF UTILITY OF PREOPERATIVE SYSTEMATIZED PULMONOLOGICAL PHYSIOTHERAPY AMONG NON-SMALL-CELL LUNG CANCER PATIENTS UNDERGOING ANATOMICAL LUNG RESECTION

Objectives: To estimate the impact of the 2-weeks intensive preoperative systematized pulmonological physiotherapy (PSPP) conducted in household conditions among non-smal-cell lung cancer (NSCLC) patients undergoing anatomical lung resection on respiratory tests, endurance during exercise, time of hospitalization and number of postoperative complications. Methods: The study included 100 NSCLC patients who were subjected to prospective controlled randomized clinical trial. Patients from test Group (T) were submitted to PSPP, while those from control Group (C) were not. Initially patients had performed spirometry, six-minute walk test (6MWT) and evaluation of anxiety. The same tests were repeated a day before operation and in Days 4-9 and 21-23 after the operation. Additionally spirometry was performed in Day 1 and Day 3 after the operation. A level of pain measured by the visual analogue scale (VAS) was also assessed in Days 1, 3, 4-9 and 21-23 after the operation. Results: Groups C and T were similar regarding body mass index (P = 0.816) and age (P = 0.619). In Group T higher FVC and FEV1 were noticed, but those differences were not statistically significant. In Group T 6MWT distance was considerably longer than in Group C, especially on Days 4-9 and 21-23 after surgery. Similarly, in Group T higher post-exercise saturation on Days 4-9 and 21-23 after surgery was detected. In Group C significanty higher rates of dyspnoea (P = 0.049) and weariness (P < 0001) after exercise during the postoperative period were observed. A test for homogeneity (P < 0.014) revealed less intensive postoperative pain in Days 1 and 4-9 in Group T. Additionally, in Group T lower frequency of postoperative complications was noticed [twice smaller number of patients required elongated pleural drainage and necessity of using mechanical ventilation during a postoperative cardiovascular and respiratory failure (P = 0015)]. Conclusions: After this study PSPP improves endurance during exercise, relieves postoperative pain, reduces number of postoperative complications and time of hospitalization. Disclosure: No significant relationships.