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Related Concept Videos

Pulmonary Function Tests01:25

Pulmonary Function Tests

Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Pulmonary function tests do not predict pulmonary complications after thoracoscopic lobectomy.

Mark F Berry1, Nestor R Villamizar-Ortiz, Betty C Tong

  • 1Department of Surgery, Division of Thoracic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. berry037@mc.duke.edu

The Annals of Thoracic Surgery
|March 27, 2010
PubMed
Summary

Pulmonary function tests predict complications after thoracotomy lung cancer lobectomy, but not after thoracoscopic lobectomy. This finding is crucial for surgical planning in patients with reduced lung capacity.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Oncology

Background:

  • Pulmonary function tests (PFTs) are established predictors of respiratory complications and mortality following lung resection via thoracotomy.
  • The impact of PFTs on complications after less invasive thoracoscopic lobectomy requires further investigation.

Purpose of the Study:

  • To determine the predictive value of PFTs for pulmonary complications after thoracoscopic lobectomy.
  • To compare the influence of PFTs on complications between thoracoscopic and thoracotomy approaches for lung cancer lobectomy.

Main Methods:

  • A multivariable logistic regression model was developed to assess morbidity, incorporating preoperative risk factors and surgical approach.
  • Patients with reduced forced expiratory volume in 1 second (FEV1) or diffusion capacity to carbon monoxide (Dlco) (≤60% predicted) undergoing lobectomy for primary lung cancer between 1999-2007 were reviewed.
  • Pulmonary complications were defined as atelectasis requiring bronchoscopy, pneumonia, reintubation, or tracheostomy.

Main Results:

  • Among 340 patients (FEV1 or Dlco ≤60%), 173 underwent thoracoscopy and 167 thoracotomy. Overall morbidity was 48%, with 17% experiencing pulmonary complications.
  • For all patients, lower Dlco and FEV1, and thoracotomy approach, were significant predictors of pulmonary complications.
  • However, Dlco and FEV1 remained significant predictors only for thoracotomy, not for thoracoscopy, when analyzed by surgical approach.

Conclusions:

  • Preoperative PFTs predict pulmonary complications in patients with impaired lung function undergoing thoracotomy for lung cancer.
  • PFTs do not appear to be significant predictors of pulmonary complications after thoracoscopic lobectomy in this patient group.