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lung cancer, physiotherapy, lobectomy

Mauricio Forero, Manikandan Rajarathinam, Sanjib Adhikary, Ki Jinn Chin
BACKGROUND AND AIMS: Post thoracotomy pain syndrome (PTPS) remains a common complication of thoracic surgery with significant impact on patients' quality of life. Management usually involves a multidisciplinary approach that includes oral and topical analgesics, performing appropriate interventional techniques, and coordinating additional care such as physiotherapy, psychotherapy and rehabilitation. A variety of interventional procedures have been described to treat PTPS that is inadequately managed with systemic or topical analgesics...
October 2017: Scandinavian Journal of Pain
Pedro A Esteban, Nieves Hernández, Nuria M Novoa, Gonzalo Varela
OBJECTIVES: The goal of this study was to describe non-supervised daily physical activity in patients during the period immediately following anatomical lung resection. METHODS: The study was an observational study on 50 consecutive patients (33 men) admitted for anatomical lung resection over a 4-month period. All cases were approached using a minimally invasive technique. Patients were instructed by nursing and physiotherapy staff and asked to wear a portable pedometer (Omron HJ-720 T-E2) from admission until hospital discharge, excluding the day of the operation and the first hours in the recovery room...
August 1, 2017: Interactive Cardiovascular and Thoracic Surgery
Paula Agostini, Sebastian T Lugg, Kerry Adams, Nelia Vartsaba, Maninder S Kalkat, Pala B Rajesh, Richard S Steyn, Babu Naidu, Alison Rushton, Ehab Bishay
OBJECTIVES: : Video-assisted thoracoscopic surgical (VATS) lobectomy is increasingly used for curative intent lung cancer surgery compared to open thoracotomy due to its minimally invasive approach and associated benefits. However, the effects of the VATS approach on postoperative pulmonary complications (PPC), rehabilitation and physiotherapy requirements are unclear; our study aimed to use propensity score matching to investigate this. METHODS: Between January 2012 and January 2016 all consecutive patients undergoing lobectomy via thoracotomy or VATS were prospectively observed...
June 1, 2017: Interactive Cardiovascular and Thoracic Surgery
Natasa Mujovic, Nebojsa Mujovic, Dragan Subotic, Maja Ercegovac, Andjela Milovanovic, Ljubica Nikcevic, Vladimir Zugic, Dejan Nikolic
Influence of physiotherapy on the outcome of the lung resection is still controversial. Study aim was to assess the influence of physiotherapy program on postoperative lung function and effort tolerance in lung cancer patients with chronic obstructive pulmonary disease (COPD) that are undergoing lobectomy or pneumonectomy. The prospective study included 56 COPD patients who underwent lung resection for primary non small-cell lung cancer after previous physiotherapy (Group A) and 47 COPD patients (Group B) without physiotherapy before lung cancer surgery...
November 2015: Aging and Disease
María Teresa Gómez, Marcelo Fernando Jiménez, José Luis Aranda, María Rodríguez, Nuria María Novoa, Gonzalo Varela
OBJECTIVES: Bilobectomy is considered to be a risky procedure due to space mismatch between the pleural space and the remnant lung. The objective of this study was to evaluate if postoperative complications related or not to size mismatch are more frequent after bilobectomy compared with right lobectomy cases. METHODS: Retrospective case-control study on a series of matched non-small-cell lung cancer patients. Cases were patients who underwent right bilobectomy (upper and middle or lower and middle) and controls, patients who underwent right upper or lower lobectomy...
July 2014: European Journal of Cardio-thoracic Surgery
Heesung Park, JoonSuk Park, Sook Young Woo, Young Hee Yi, Kwhanmien Kim
OBJECTIVE: We examined the feasibility of high-frequency chest wall oscillationtherapy in immediate postoperative lung recruitment after pulmonary lobectomy for non-small cell lung cancer compared to conventional chest physiotherapy. DESIGN: A prospective, single-blind, randomized trial was conducted at Samsung Medical Center between March 2010 and May 2010. SETTING: Patients were randomized to either the high-frequency chest wall oscillation group or the conventional percussive physiotherapy (control) group...
September 2012: Critical Care Medicine
Nuria Novoa, Esther Ballesteros, Marcelo F Jiménez, José Luis Aranda, Gonzalo Varela
OBJECTIVE: The study aimed to evaluate if perioperative chest physiotherapy modifies the risk of pulmonary morbidity after lobectomy for lung cancer. METHODS: We have reviewed a prospectively recorded database of 784 lung cancer patients treated by scheduled lobectomy (361 operated after implementing a new physiotherapy program). No other changes were introduced in the patients' perioperative management during the study period. A propensity matching score was generated for all eligible patients and two logistic models were constructed and adjusted...
July 2011: European Journal of Cardio-thoracic Surgery
Tommaso Ligabue, Luca Voltolini, Claudia Ghiribelli, Luca Luzzi, Cristian Rapicetta, Giuseppe Gotti
Abscess of the residual lobe after lobectomy is a rare but potentially lethal complication. Between January 1975 and December 2006, 1,460 patients underwent elective pulmonary lobectomy for non-small-cell lung cancer at our institution. Abscess of the residual lung parenchyma occurred in 5 (0.3%) cases (4 bilobectomies and 1 lobectomy). Postoperative chest radiography showed incomplete expansion and consolidation of residual lung parenchyma. Flexible bronchoscopy revealed persistent bronchial occlusion from purulent secretions and/or bronchial collapse...
April 2008: Asian Cardiovascular & Thoracic Annals
István Benko, Ors Péter Horváth, Klára Nagy, Veronika Sárosi, Zoltán Balikó, László Potó, F Tamás Molnár
Lung cancer is a leading cause of death in the civilised world. Surgical resection, which play a crucial role in the complex oncological treatment, has to be offered in older ages than it was done before, due to an ageing population. Results of surgical treatment of patients older than 75 years are investigated retrospectively in the present paper. A retrospectively analysis was carried out of 54 from a total of 884 lung resections for primary lung cancer performed for patients older than 75 years between 1995-2005...
February 2008: Magyar Sebészet
Yasuo Sekine, Masako Chiyo, Takekazu Iwata, Kazuhiro Yasufuku, Seiichiro Furukawa, Yuko Amada, Akira Iyoda, Kiyoshi Shibuya, Toshihiko Iizasa, Takehiko Fujisawa
OBJECTIVE: The purpose of this study was to investigate the impact of pulmonary rehabilitation on surgical morbidity and lung function in lung cancer patients with chronic obstructive pulmonary disease (COPD). METHODS: Prospectively, 22 lung cancer patients with COPD who underwent lobectomy between 2000 and 2003 were enrolled for this study as a rehabilitation group (Rehab. Group). The criteria of COPD were preoperative forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) < or =70% and more than 50% of low attenuation area in a computed tomography...
May 2005: Japanese Journal of Thoracic and Cardiovascular Surgery
J Boldt, M Müller, D Uphus, W Padberg, G Hempelmann
OBJECTIVE: Pulmonary resection may be associated with considerable alterations of the cardiorespiratory system. The ideal anesthetic regimen for these patients is not yet definitely determined. DESIGN: Prospective, randomized study. SETTING: Single-institutional, clinical investigation in a thoracic anesthesia department of a university hospital. PARTICIPANTS: Fifty consecutive patients scheduled for elective thoracic surgery for lung cancer...
December 1996: Journal of Cardiothoracic and Vascular Anesthesia
S Tanaka, T Ikeda, T Sakai, H Horinouchi, Y Nishimura, K Tei
A 90-year-old man was admitted to our hospital because of the dyspnea on exertion and an abnormal shadow of the chest. The examinations revealed pulmonary adenocarcinoma (bronchioloalveolar cell type) of the left S3 with clinical classification of stage I. Spirometry showed severe obstructive lung dysfunction (VC 2.05 l, % VC 75.2%, FEV1.0 0.72 l, FEV1.0% 39.3%). Walking exercise in the ward and the stairs as well as instrumental physiotherapy (Triflow) partially improved his respiratory function. Left upper lobectomy and lymphnode dissection were performed...
August 1992: Kyobu Geka. the Japanese Journal of Thoracic Surgery
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