Influence of the site of lobectomy and chronic obstructive pulmonary disease on pulmonary function: a follow-up analysis
Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, 634-8522, Japan *Corresponding author. Tel.: +81-744-22-3051; fax: +81-744-24-8040. E-mail address : mdkeiji{at}m3.kcn.ne.jp (K. Kushibe). The aim of this retrospective study was to evalua...
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| Veröffentlicht in: | Interactive cardiovascular and thoracic surgery 2009-05, Vol.8 (5), p.529-533 |
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| creator | Kushibe, Keiji Kawaguchi, Takeshi Kimura, Michitaka Takahama, Makoto Tojo, Takashi Taniguchi, Shigeki |
| description | Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, 634-8522, Japan
*Corresponding author. Tel.: +81-744-22-3051; fax: +81-744-24-8040. E-mail address : mdkeiji{at}m3.kcn.ne.jp (K. Kushibe).
The aim of this retrospective study was to evaluate the influence of the site of lobectomy and the presence of chronic obstructive pulmonary disease (COPD) on pulmonary function at different postoperative periods. The patients were divided into groups of COPD and non-COPD patients, and the differences between observed and predicted postoperative values of pulmonary function at different evaluation times according to the resected lobe were assessed. The observed postoperative percentage change in FEV 1 (opo% FEV 1 ) – predicted postoperative percentage change in FEV 1 (ppo% FEV 1 ) one month and six months after right upper lobectomy or left upper lobectomy in COPD patients was of significantly higher positive value than in non-COPD patients. In non-COPD patients, opo% FEV 1 – ppo% FEV 1 one month and six months after surgery was of significantly higher negative value in those who had right upper lobectomy than in those who had right lower lobectomy or left lower lobectomy ( P |
| doi_str_mv | 10.1510/icvts.2008.196303 |
| format | Article |
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*Corresponding author. Tel.: +81-744-22-3051; fax: +81-744-24-8040. E-mail address : mdkeiji{at}m3.kcn.ne.jp (K. Kushibe).
The aim of this retrospective study was to evaluate the influence of the site of lobectomy and the presence of chronic obstructive pulmonary disease (COPD) on pulmonary function at different postoperative periods. The patients were divided into groups of COPD and non-COPD patients, and the differences between observed and predicted postoperative values of pulmonary function at different evaluation times according to the resected lobe were assessed. The observed postoperative percentage change in FEV 1 (opo% FEV 1 ) – predicted postoperative percentage change in FEV 1 (ppo% FEV 1 ) one month and six months after right upper lobectomy or left upper lobectomy in COPD patients was of significantly higher positive value than in non-COPD patients. In non-COPD patients, opo% FEV 1 – ppo% FEV 1 one month and six months after surgery was of significantly higher negative value in those who had right upper lobectomy than in those who had right lower lobectomy or left lower lobectomy ( P <0.05). COPD may strongly influence pulmonary function at early- and late-terms after upper lobectomy. In non-COPD patients, the site of lobectomy may strongly influence pulmonary function at early- and late-terms after surgery.
Key Words: Chronic obstructive pulmonary disease; Lobectomy; Predicted postoperative pulmonary function; Observed postoperative pulmonary function; Postoperative period</description><identifier>ISSN: 1569-9293</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1510/icvts.2008.196303</identifier><identifier>PMID: 19201779</identifier><language>eng</language><publisher>England: Eur Assoc Cardio Surg</publisher><subject>Aged ; Carcinoma, Non-Small-Cell Lung - complications ; Carcinoma, Non-Small-Cell Lung - pathology ; Carcinoma, Non-Small-Cell Lung - physiopathology ; Carcinoma, Non-Small-Cell Lung - surgery ; Female ; Follow-Up Studies ; Forced Expiratory Volume ; Humans ; Lung - pathology ; Lung - physiopathology ; Lung - surgery ; Lung Neoplasms - complications ; Lung Neoplasms - pathology ; Lung Neoplasms - physiopathology ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Pneumonectomy - adverse effects ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - pathology ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Pulmonary Disease, Chronic Obstructive - surgery ; Recovery of Function ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Vital Capacity</subject><ispartof>Interactive cardiovascular and thoracic surgery, 2009-05, Vol.8 (5), p.529-533</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2883-1210e9af608e08b9421e770b7c5dbb8994358eded1f28b80bd4f08911989372c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19201779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kushibe, Keiji</creatorcontrib><creatorcontrib>Kawaguchi, Takeshi</creatorcontrib><creatorcontrib>Kimura, Michitaka</creatorcontrib><creatorcontrib>Takahama, Makoto</creatorcontrib><creatorcontrib>Tojo, Takashi</creatorcontrib><creatorcontrib>Taniguchi, Shigeki</creatorcontrib><title>Influence of the site of lobectomy and chronic obstructive pulmonary disease on pulmonary function: a follow-up analysis</title><title>Interactive cardiovascular and thoracic surgery</title><addtitle>Interact Cardiovasc Thorac Surg</addtitle><description>Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, 634-8522, Japan
*Corresponding author. Tel.: +81-744-22-3051; fax: +81-744-24-8040. E-mail address : mdkeiji{at}m3.kcn.ne.jp (K. Kushibe).
The aim of this retrospective study was to evaluate the influence of the site of lobectomy and the presence of chronic obstructive pulmonary disease (COPD) on pulmonary function at different postoperative periods. The patients were divided into groups of COPD and non-COPD patients, and the differences between observed and predicted postoperative values of pulmonary function at different evaluation times according to the resected lobe were assessed. The observed postoperative percentage change in FEV 1 (opo% FEV 1 ) – predicted postoperative percentage change in FEV 1 (ppo% FEV 1 ) one month and six months after right upper lobectomy or left upper lobectomy in COPD patients was of significantly higher positive value than in non-COPD patients. In non-COPD patients, opo% FEV 1 – ppo% FEV 1 one month and six months after surgery was of significantly higher negative value in those who had right upper lobectomy than in those who had right lower lobectomy or left lower lobectomy ( P <0.05). COPD may strongly influence pulmonary function at early- and late-terms after upper lobectomy. In non-COPD patients, the site of lobectomy may strongly influence pulmonary function at early- and late-terms after surgery.
Key Words: Chronic obstructive pulmonary disease; Lobectomy; Predicted postoperative pulmonary function; Observed postoperative pulmonary function; Postoperative period</description><subject>Aged</subject><subject>Carcinoma, Non-Small-Cell Lung - complications</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Carcinoma, Non-Small-Cell Lung - physiopathology</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Lung - pathology</subject><subject>Lung - physiopathology</subject><subject>Lung - surgery</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - pathology</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Pulmonary Disease, Chronic Obstructive - surgery</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vital Capacity</subject><issn>1569-9293</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkUFP3DAQhS3UigXKD-gF-dRbtmNnk9i9VQhapJV6ac-W7YxZV469xAmw_x5DVqWnGY3ee6P5hpDPDNasYfDV28cprzmAWDPZ1lCfkDPWtLKSXDQf_vWyXpHznP8CMAk1nJIVkxxY18kz8nwXXZgxWqTJ0WmHNPvprQ_JoJ3ScKA69tTuxhS9pcnkaZzt5B-R7ucwpKjHA-19Rp2LLf43dHMsuhS_UU1dCiE9VfO-hOlwyD5_Ih-dDhkvj_WC_Lm9-X39s9r--nF3_X1bWS5EXTHOAKV2LQgEYeSGM-w6MJ1temOElJu6EdhjzxwXRoDpNw6EZEwKWXfc1hfky5K7H9PDjHlSg88WQ9AR05xV2xWULcgiZIvQjinnEZ3aj34ohygG6hW3esOtXnGrBXfxXB3DZzNg_-448n3fvvP3uyc_osqDDqHI-RInVKOa8qEXMJiMAw</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Kushibe, Keiji</creator><creator>Kawaguchi, Takeshi</creator><creator>Kimura, Michitaka</creator><creator>Takahama, Makoto</creator><creator>Tojo, Takashi</creator><creator>Taniguchi, Shigeki</creator><general>Eur Assoc Cardio Surg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Influence of the site of lobectomy and chronic obstructive pulmonary disease on pulmonary function: a follow-up analysis</title><author>Kushibe, Keiji ; Kawaguchi, Takeshi ; Kimura, Michitaka ; Takahama, Makoto ; Tojo, Takashi ; Taniguchi, Shigeki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2883-1210e9af608e08b9421e770b7c5dbb8994358eded1f28b80bd4f08911989372c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Carcinoma, Non-Small-Cell Lung - complications</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Carcinoma, Non-Small-Cell Lung - physiopathology</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Lung - pathology</topic><topic>Lung - physiopathology</topic><topic>Lung - surgery</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - pathology</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Pulmonary Disease, Chronic Obstructive - surgery</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kushibe, Keiji</creatorcontrib><creatorcontrib>Kawaguchi, Takeshi</creatorcontrib><creatorcontrib>Kimura, Michitaka</creatorcontrib><creatorcontrib>Takahama, Makoto</creatorcontrib><creatorcontrib>Tojo, Takashi</creatorcontrib><creatorcontrib>Taniguchi, Shigeki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kushibe, Keiji</au><au>Kawaguchi, Takeshi</au><au>Kimura, Michitaka</au><au>Takahama, Makoto</au><au>Tojo, Takashi</au><au>Taniguchi, Shigeki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of the site of lobectomy and chronic obstructive pulmonary disease on pulmonary function: a follow-up analysis</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2009-05</date><risdate>2009</risdate><volume>8</volume><issue>5</issue><spage>529</spage><epage>533</epage><pages>529-533</pages><issn>1569-9293</issn><eissn>1569-9285</eissn><abstract>Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, 634-8522, Japan
*Corresponding author. Tel.: +81-744-22-3051; fax: +81-744-24-8040. E-mail address : mdkeiji{at}m3.kcn.ne.jp (K. Kushibe).
The aim of this retrospective study was to evaluate the influence of the site of lobectomy and the presence of chronic obstructive pulmonary disease (COPD) on pulmonary function at different postoperative periods. The patients were divided into groups of COPD and non-COPD patients, and the differences between observed and predicted postoperative values of pulmonary function at different evaluation times according to the resected lobe were assessed. The observed postoperative percentage change in FEV 1 (opo% FEV 1 ) – predicted postoperative percentage change in FEV 1 (ppo% FEV 1 ) one month and six months after right upper lobectomy or left upper lobectomy in COPD patients was of significantly higher positive value than in non-COPD patients. In non-COPD patients, opo% FEV 1 – ppo% FEV 1 one month and six months after surgery was of significantly higher negative value in those who had right upper lobectomy than in those who had right lower lobectomy or left lower lobectomy ( P <0.05). COPD may strongly influence pulmonary function at early- and late-terms after upper lobectomy. In non-COPD patients, the site of lobectomy may strongly influence pulmonary function at early- and late-terms after surgery.
Key Words: Chronic obstructive pulmonary disease; Lobectomy; Predicted postoperative pulmonary function; Observed postoperative pulmonary function; Postoperative period</abstract><cop>England</cop><pub>Eur Assoc Cardio Surg</pub><pmid>19201779</pmid><doi>10.1510/icvts.2008.196303</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Oxford University Press (Open Access Collection); EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Carcinoma, Non-Small-Cell Lung - complications Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - physiopathology Carcinoma, Non-Small-Cell Lung - surgery Female Follow-Up Studies Forced Expiratory Volume Humans Lung - pathology Lung - physiopathology Lung - surgery Lung Neoplasms - complications Lung Neoplasms - pathology Lung Neoplasms - physiopathology Lung Neoplasms - surgery Male Middle Aged Pneumonectomy - adverse effects Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - pathology Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - surgery Recovery of Function Retrospective Studies Time Factors Treatment Outcome Vital Capacity |
| title | Influence of the site of lobectomy and chronic obstructive pulmonary disease on pulmonary function: a follow-up analysis |
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