| アイテムタイプ |
デフォルトアイテムタイプ（フル）fmu(1) |
| 公開日 |
2011-05-25 |
| タイトル |
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|
タイトル |
Preoperative pulmonary function as a predictor of respiratory complications and mortality in patients undergoing lung cancer resection |
|
言語 |
en |
| 作成者 |
Fujiu, Koichi
Kanno, Ryuzo
Suzuki, Hiroyuki
Shio, Yutaka
Higuchi, Mitsunori
Ohsugi, Jun
Oishi, Akio
Gotoh, Mitsukazu
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| 権利情報 |
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|
権利情報 |
© 2003 The Fukushima Society of Medical Science |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
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内容記述 |
OBJECTIVE: We evaluated preoperative pulmonary function as a predictor of respiratory complications and mortality in patients undergoing lung cancer resection to confirm the guideline of the British Thoracic Society: lung cancer surgery in patients with predictive postoperative FEV(1.0) (%FEV(1.0)ppo) > 40% and predictive postoperative diffusion capacity for carbon monoxide (%DL(co)ppo) > 40% can be carried out with average risk. METHODS: We retrospectively studied 356 consecutive patients who underwent pulmonary resection at our Department from January 1992 to December 2001. Preoperative pulmonary function tests included vital capacity (VC), %VC, forced expiratory volume in one second (FEV(1.0)), FEV(1.0)%, diffusion capacity for carbon monoxide (DL(co)), predictive postoperative FEV(1.0) (FEV(1.0)ppo), postoperative respiratory function expressed as a percentage of the predicted normal value (%FEV(1.0) ppo, %DL(co)ppo). Postoperative complications were divided into 2 groups: respiratory complications (pneumonia, atelectasis, etc) and other complications (bronchopleural fistula, prolonged air leak, arrhythmia, etc). RESULTS: Postoperative deaths occurred in 14 (3.9%) patients. Postoperative respiratory complications developed in 27 (7.6%) patients. Pneumonectomy (p < 0.001), preoperative chemotherapy (p < 0.01) and advanced stage (p < 0.05) were identified as risk factors of postoperative deaths. Patients undergoing lobectomy with FEV(1.0) > or = 1,500 ml did not die of respiratory complications. Patients undergoing pneumonectomy with FEV(1.0)ppo > or = 800ml/m2 did not die of respiratory complications. Patients undergoing pneumonectomy with %FEV(1.0)ppo < 40% and %DL(co)ppo < 40% did not survive. Five of the 7 patients who died of respiratory complications were treated with preoperative chemotherapy. The values of their %DL(co)ppo were all less than 40%. By multivariate analysis, %FEV(1.0)ppo was significant independent factor associated postoperative death. CONCLUSIONS: We conclude that the guideline is useful for the selection for surgery of lung cancer patients. If preoperative chemotherapy is performed, the measurement of %DL(co) is recommended before surgery. |
| 出版者 |
|
|
出版者 |
The Fukushima Society of Medical Science |
| 言語 |
|
|
言語 |
eng |
| 書誌情報 |
en : Fukushima Journal of Medical Science
巻 49,
号 2,
p. 117-127,
発行日 2003-12
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| 関連情報 |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.5387/fms.49.117 |
| 関連情報 |
|
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|
識別子タイプ |
PMID |
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|
関連識別子 |
15065638 |
| 関連情報 |
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|
識別子タイプ |
ICHUSHI |
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|
関連識別子 |
2005187794 |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0016-2590 |
| 収録物識別子 |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2185-4610 |
| 収録物識別子 |
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|
収録物識別子タイプ |
NCID |
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収録物識別子 |
AA0065246X |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
lung cancer |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
lung resection |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
pulmonary function |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
respiratory complication |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
mortality |
| 主題 |
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|
主題Scheme |
MeSH |
|
主題 |
Adult |
| 主題 |
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|
主題Scheme |
MeSH |
|
主題 |
Aged |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Aged, 80 and over |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Female |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Forced Expiratory Volume |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Humans |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Lung Neoplasms |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Male |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Middle Aged |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Postoperative Complications |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Pulmonary Diffusing Capacity |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Retrospective Studies |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Risk Factors |
FksmJMedSci_49_p117.pdf (746.5 KB)
