Related Experiment Video
Updated: May 9, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Is routine preoperative spirometry necessary in elderly patients undergoing laparoscopy-assisted gastrectomy?
Jin Huh1, Tae-Sung Sohn, Jin-Kyoung Kim
1Department of Anaesthesiology and Pain Medicine, Seoul Metropolitan Government - Seoul National University Boramae Medical Centre, Seoul, Republic of Korea.
The Journal of International Medical Research
|August 3, 2013
Summary
Preoperative spirometry does not reliably predict postoperative pulmonary complications (PPCs) in older adults undergoing laparoscopy-assisted gastrectomy (LAG). Age is the only significant predictor, suggesting routine spirometry is not recommended for risk stratification in this patient group.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
- Geriatric surgery
Background:
- Postoperative pulmonary complications (PPCs) are a significant concern in elderly patients undergoing major surgery.
- Laparoscopy-assisted gastrectomy (LAG) is increasingly common, but risk stratification for PPCs remains crucial.
Purpose of the Study:
- To identify predictors of PPCs in patients aged ≥ 60 years undergoing LAG.
- To evaluate the predictive value of preoperative spirometry for PPCs in this population.
Main Methods:
- Retrospective study of 213 patients who underwent LAG with preoperative spirometry.
- Spirometry parameters included FEV1, FVC, FEF25-75, and PEFR.
- Multivariate logistic regression and ROC analyses were used.
Main Results:
- The overall incidence of PPCs was 19.2%.
- Abnormal spirometry findings were not independent predictors of PPCs.
- Age was the sole independent predictor identified; spirometry showed poor diagnostic accuracy.
Conclusions:
- Preoperative spirometry, individually or combined, is not a reliable predictor of PPCs in elderly LAG patients.
- Routine spirometry is not supported for risk stratification in this surgical cohort.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:30Endoscopic 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...
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...
01:25Pulmonary 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...
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...
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:26Endoscopic 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...
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...