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[A Resected Case Whose Poor Pulmonary Function was Improved through Preoperative Comprehensive Respiratory
Yoshinori Handa1, Hiroaki Harada, Yoshinori Yamashita
1Department of Respiratory Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Abstract:
A 70-years-old man was diagnosed as having primary lung adenocarcinoma (cT1aN0M0, cStage I A) in the left lingula. Because of poor pulmonary function [vital capacity (VC):1,840 ml, forced expiratory volume (FEV)1.0:790 ml],we thought he could not tolerate the surgery and should be treated by chemoradiation therapy. However,by his strong hope for surgical treatment,comprehensive pulmonary rehabilitation by nutritional therapy and physiotherapy of breathing was started and was continued for about 1 month. As the value of pulmonary function test was improved (VC:2,010 ml,FEV1.0:1,040 ml), we did left lingulectomy. Postoperative complications did not occur and the patient shows a favorable condition without respiratory failure 18 months postoperation.
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