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01-09-2014 | Original Article

Spirometric and radiological evaluation of the remnant lung long after major pulmonary resection: can compensatory phenomena be recognized in clinical cases?

Authors: Teruaki Mizobuchi, Hironobu Wada, Yuichi Sakairi, Hidemi Suzuki, Takahiro Nakajima, Tetsuzo Tagawa, Takekazu Iwata, Ken Motoori, Shigetoshi Yoshida, Ichiro Yoshino

Published in: Surgery Today | Issue 9/2014

Abstract

Purposes

The purpose of this study was to investigate the compensatory phenomena after lung resection in clinical cases by evaluating the spirometric and radiological parameters.

Methods

Forty patients undergoing lobectomy for stage IA lung cancer were divided into the following groups: (A) patients with <10 (n = 20) and (B) patients with ≥10 resected subsegments (n = 20). Comparisons were made of the predicted and observed postoperative values of spirometry and radiological parameters, such as lung volumetry and the “estimated lung weight”. Predicted values were based on the number of resected subsegments. The postoperative time to re-evaluation was at least 1 year for both groups.

Results

The predicted postoperative values of spirometry underestimated the actual values, and the differences were more significant in group B (forced vital capacity, p = 0.006, forced expiratory volume in 1 s, p = 0.011). Focusing on the remnant lungs on the surgical side, group B had significantly larger % postoperative lung volumes (161 ± 6.0 %) and % estimated lung weight (124 ± 5.4 %) than did group A (114 ± 3.8 %, p < 0.0001; 89.5 ± 4.4 %, p < 0.0001, respectively).

Conclusions

Major lung resection in clinical cases causes a compensatory restoration of the pulmonary function and tissue.

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Title: Spirometric and radiological evaluation of the remnant lung long after major pulmonary resection: can compensatory phenomena be recognized in clinical cases?
Authors: Teruaki Mizobuchi
Hironobu Wada
Yuichi Sakairi
Hidemi Suzuki
Takahiro Nakajima
Tetsuzo Tagawa
Takekazu Iwata
Ken Motoori
Shigetoshi Yoshida
Ichiro Yoshino
Publication date: 01-09-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 9/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0702-6

At a glance: The STEP trials

Springer Medicine

Spirometric and radiological evaluation of the remnant lung long after major pulmonary resection: can compensatory phenomena be recognized in clinical cases?

Abstract

Purposes

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purposes

Methods

Results

Conclusions

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