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Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
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Spirometry evaluation in patient with tuberculosis sequelae treated by lobectomy.

Elias Amorim1, Roberto Saad, Roberto Stirbulov

  • 1University Hospital, Federal University of Maranhão, Presidente Dutra, Maranhao State, Brazil. amorimelm@gmail.com

Revista Do Colegio Brasileiro De Cirurgioes
|June 12, 2013
PubMed
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Pulmonary function tests show a significant drop after lobectomy in tuberculosis patients. Lung function improves by six months post-surgery but does not fully recover to pre-operative levels.

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Area of Science:

  • Pulmonary Medicine
  • Thoracic Surgery
  • Respiratory Physiology

Background:

  • Tuberculosis sequelae can lead to significant lung damage.
  • Pulmonary lobectomy is a surgical option for managing complications of tuberculosis.
  • Assessing lung function post-lobectomy is crucial for patient recovery.

Purpose of the Study:

  • To evaluate pre- and post-operative spirometry in patients with tuberculosis sequelae undergoing lobectomy.
  • To compare lung function parameters at various time points after surgery.

Main Methods:

  • Twenty patients with tuberculosis sequelae underwent pulmonary lobectomy.
  • Spirometry measurements (VC, FVC, FEV1, FEV1/FVC, FEF, PEF) were taken preoperatively and at 1, 3, and 6 months post-surgery.
  • Statistical analysis used a significance level of p < 0.05.

Main Results:

  • A marked decrease in lung function was observed in the first month post-surgery.
  • Spirometric parameters showed improvement from the third month onwards.
  • Lung function gradually increased up to the sixth postoperative month.

Conclusions:

  • Preoperative spirometric values were not fully recovered by six months post-lobectomy.
  • Lobectomy in patients with tuberculosis sequelae results in persistent, albeit improving, lung function deficits.