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Factors related to an early restoration of exercise capacity after major lung resection

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Abstract

Purpose

We attempted to identify the factors related to an early restoration of the exercise capacity after lung resection.

Methods

Major lung resection was performed in 164 patients. Exercise testing and spirometry were performed before surgery, and 2 weeks and 1 month afterward. During exercise, the maximum oxygen uptake per minute per m2 of body surface area (V̇o2max/m2) was measured. The percent change of V̇o2max/m2 at 2 weeks and 1 month after surgery was calculated by setting the preoperative V̇o2max/m2 value as 100%. Patients were then assigned to the early restoration group or late restoration group according to their V̇o2max/m2 measured 2 weeks after surgery. Preoperative cardiopulmonary function, as well as various preoperative and intraoperative factors were compared between the two groups.

Results

At 2 weeks after surgery, the mean V̇o2max/m2 was 80.9% compared with that before surgery, and was 88.1% at 1 month. A multivariate analysis showed that the surgical method used (thoracotomy and mediastinal lymph node dissection) had a significant effect on the postoperative restoration of the V̇o2max/m2.

Conclusion

An early restoration of exercise capacity after lung resection is possible in patients without mediastinal lymph node dissection and in those who have a small thoracotomy wound.

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Authors and Affiliations

  1. Department of Surgery, National Hospital Organization Omuta National Hospital, 1044-1 Tachibana, Ohmuta, Fukuoka, 837-0911, Japan

    Yoshinori Nagamatsu & Yasunori Iwasaki

  2. Department of Surgery, Saiseikai Hita Hospital, Oita, Japan

    Ryozo Hayashida

  3. Department of Surgery, Kurume University, School of Medicine, Fukuoka, Japan

    Masaki Kashihara, Tatsuya Nishi, Koichi Yoshiyama, Hideaki Yamana & Kazuo Shirouzu

Authors
  1. Yoshinori Nagamatsu
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  2. Yasunori Iwasaki
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  3. Ryozo Hayashida
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  4. Masaki Kashihara
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  5. Tatsuya Nishi
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  6. Koichi Yoshiyama
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  7. Hideaki Yamana
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  8. Kazuo Shirouzu
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Nagamatsu, Y., Iwasaki, Y., Hayashida, R. et al. Factors related to an early restoration of exercise capacity after major lung resection. Surg Today 41, 1228–1233 (2011). https://doi.org/10.1007/s00595-010-4441-7

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  • DOI: https://doi.org/10.1007/s00595-010-4441-7

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