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

Abstract

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.

Cost and effectiveness of lung lobectomy by video-assisted thoracic surgery for lung cancer

“…Meanwhile, in accordance with previous studies of Bolliger et al (26) and Nezu et al (27), we found that OPEN leaded to a 10% permanent loss in pulmonary function. Several reports suggested that lobectomy patients suffered a significant reduction (15%) of functional reserve at 6 months postoperatively, with almost equal deterioration between lung function and exercise capacity (28,29). Also, for many patients, the risk of impaired quality-of-life after surgery is an important consideration.…”

A retrospective study of diaphragmatic motion, pulmonary function, and quality-of-life following video-assisted thoracoscopic lobectomy in patients with nonsmall cell lung cancer

“…[1,13] Several reports suggested that lobectomy patients suffered a significant reduction (15%) of functional reserve at 6 months postoperatively, with almost equal deterioration between lung function and exercise capacity. [14,15] Maziak et al reported that, at 6 months after lung transplantation, 6 patients with UDP had an FEV 1 of at least 60% and total lung capacities exceeding 78%. [16] Based on a comparison of our results, we know that in UDP group, all functional variables (FEV 1 , FVC, TLC, and DLCO) decreased significantly from preoperative to 6 months after the operation and significantly more so than in group of control.…”

Effects of systematic rehabilitation programs on quality of life in patients undergoing lung resection

“…A multidimensional therapeutic approach is recommended including pulmonary rehabilitation (6,7) and an adequate level of physical activity (8,9) in order to improve exercise tolerance, health-related QOL as well as surgical candidacy and to decrease surgical morbidity. Recent studies have shown that physical activity may have important benefits on lung cancer patients and survivors (10)(11)(12), regardless of the disease stage (13) or limited physical activity (14,15). Limited physical activity, also known as 'de-conditioning', may cause the heart and muscles to regress and become less efficient.…”