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http://dx.doi.org/10.5090/jcs.21.037

Changes in Forced Expiratory Volume in 1 Second after Anatomical Lung Resection according to the Number of Segments  

Lee, Sun-Geun (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
Lee, Seung Hyong (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine)
Cho, Sang-Ho (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
Song, Jae Won (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
Oh, Chang-Mo (Department of Preventive Medicine, Kyung Hee University School of Medicine)
Kim, Dae Hyun (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
Publication Information
Journal of Chest Surgery / v.54, no.6, 2021 , pp. 480-486 More about this Journal
Abstract
Background: Although various methods are already used to calculate predicted postoperative forced expiratory volume in 1 second (FEV1) based on preoperative FEV1 in lung surgery, the predicted postoperative FEV1 is not always the same as the actual postoperative FEV1. Observed postoperative FEV1 values are usually the same or higher than the predicted postoperative FEV1. To overcome this issue, we investigated the relationship between the number of resected lung segments and the discordance of preoperative and postoperative FEV1 values. Methods: From September 2014 to May 2020, the data of all patients who underwent anatomical lung resection by video-assisted thoracoscopic surgery (VATS) were gathered and analyzed retrospectively. We investigated the association between the number of resected segments and the differential FEV1 (a measure of the discrepancy between the predicted and observed postoperative FEV1) using the t-test and linear regression. Results: Information on 238 patients who underwent VATS anatomical lung resection at Kyung Hee University Hospital at Gangdong and by DH. Kim for benign and malignant disease was collected. After applying the exclusion criteria, 114 patients were included in the final analysis. In the multiple linear regression model, the number of resected segments showed a positive correlation with the differential FEV1 (Pearson r=0.384, p<0.001). After adjusting for multiple covariates, the differential FEV1 increased by 0.048 (95% confidence interval, 0.023-0.073) with an increasing number of resected lung segments (R2=0.271, p<0.001). Conclusion: In this study, after pulmonary resection, the number of resected segments showed a positive correlation with the differential FEV1.
Keywords
Video-assisted thoracoscopic surgery; Segmentectomy; Lobectomy; Respiratory function tests;
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1 Detterbeck F, Gat M, Miller D, et al. A new method to predict postoperative lung function: quantitative breath sound measurements. Ann Thorac Surg 2013;95:968-75.   DOI
2 Ravikumar P, Yilmaz C, Dane DM, Johnson RL Jr, Estrera AS, Hsia CC. Regional lung growth following pneumonectomy assessed by computed tomography. J Appl Physiol (1985) 2004;97:1567-74.   DOI
3 Nomori H, Horio H, Suemasu K. Anterior limited thoracotomy with intrathoracic illumination for lung cancer: its advantages over anteroaxillary and posterolateral thoracotomy. Chest 1999;115:874-80.   DOI
4 Perentes J, Bopp S, Krueger T, et al. Impact of lung function changes after induction radiochemotherapy on resected T4 non-small cell lung cancer outcome. Ann Thorac Surg 2012;94:1815-22.   DOI
5 Granone P, Cesario A, Margaritora S, et al. Morbidity after induction therapy and surgery in non small cell lung cancer (NSCLC): focus on pulmonary function. Lung Cancer 2002;36:219-20.   DOI
6 Asakura K, Izumi Y, Kohno M, et al. Effect of cutting technique at the intersegmental plane during segmentectomy on expansion of the preserved segment: comparison between staplers and scissors in ex vivo pig lung. Eur J Cardiothorac Surg 2011;40:e34-8.   DOI
7 Giordano A, Calcagni ML, Meduri G, Valente S, Galli G. Perfusion lung scintigraphy for the prediction of postlobectomy residual pulmonary function. Chest 1997;111:1542-7.   DOI
8 Kim DH, Moon DH, Kim HR, et al. Effect of inferior pulmonary ligament division on residual lung volume and function after a right upper lobectomy. Interact Cardiovasc Thorac Surg 2019;28:760-6.   DOI
9 Ueda K, Tanaka T, Hayashi M, Tanaka N, Li TS, Hamano K. Clinical ramifications of bronchial kink after upper lobectomy. Ann Thorac Surg 2012;93:259-65.   DOI
10 Van Leuven M, Clayman JA, Snow N. Bronchial obstruction after upper lobectomy: kinked bronchus relieved by stenting. Ann Thorac Surg 1999;68:235-7.   DOI
11 Mihailidis V, Anevlavis S, Karpathiou G, et al. Lung function changes after chemoradiation therapy in patients with lung cancer treated by three usual platinum combinations. J Thorac Dis 2018;10:5435-42.   DOI
12 Cukic V. Preoperative prediction of lung function in pneumonectomy by spirometry and lung perfusion scintigraphy. Acta Inform Med 2012;20:221-5.   DOI
13 Luzzi L, Tenconi S, Voltolini L, et al. Long-term respiratory functional results after pneumonectomy. Eur J Cardiothorac Surg 2008;34:164-8.   DOI
14 ad hoc Statement Committee, American Thoracic Society. Mechanisms and limits of induced postnatal lung growth. Am J Respir Crit Care Med 2004;170:319-43.   DOI
15 Ali MK, Mountain CF, Ewer MS, Johnston D, Haynie TP. Predicting loss of pulmonary function after pulmonary resection for bronchogenic carcinoma. Chest 1980;77:337-42.   DOI
16 Khargi K, Duurkens VA, Verzijlbergen FF, Huysmans HA, Knaepen PJ. Pulmonary function after sleeve lobectomy. Ann Thorac Surg 1994;57:1302-4.   DOI
17 Tedder M, Anstadt MP, Tedder SD, Lowe JE. Current morbidity, mortality, and survival after bronchoplastic procedures for malignancy. Ann Thorac Surg 1992;54:387-91.   DOI
18 Tao H, Tanaka T, Hayashi T, et al. Influence of stapling the intersegmental planes on lung volume and function after segmentectomy. Interact Cardiovasc Thorac Surg 2016;23:548-52.   DOI
19 Funakoshi Y, Takeda S, Sawabata N, Okumura Y, Maeda H. Longterm pulmonary function after lobectomy for primary lung cancer. Asian Cardiovasc Thorac Ann 2005;13:311-5.   DOI
20 Kreuter M, Vansteenkiste J, Herth FJ, et al. Impact and safety of adjuvant chemotherapy on pulmonary function in early stage non-small cell lung cancer. Respiration 2014;87:204-10.   DOI
21 Ueda K, Tanaka T, Hayashi M, Li TS, Tanaka N, Hamano K. Computed tomography-defined functional lung volume after segmentectomy versus lobectomy. Eur J Cardiothorac Surg 2010;37:1433-7.   DOI
22 Kearney DJ, Lee TH, Reilly JJ, DeCamp MM, Sugarbaker DJ. Assessment of operative risk in patients undergoing lung resection: importance of predicted pulmonary function. Chest 1994;105:753-9.   DOI
23 Beckles MA, Spiro SG, Colice GL, Rudd RM; American College of Chest Physicians. The physiologic evaluation of patients with lung cancer being considered for resectional surgery. Chest 2003;123(1 Suppl):105S-114S.   DOI
24 Begum SS, Papagiannopoulos K, Falcoz PE, Decaluwe H, Salati M, Brunelli A. Outcome after video-assisted thoracoscopic surgery and open pulmonary lobectomy in patients with low VO2 max: a case-matched analysis from the ESTS database. Eur J Cardiothorac Surg 2016;49:1054-8.   DOI
25 Iwano S, Okada T, Satake H, Naganawa S. 3D-CT volumetry of the lung using multidetector row CT: comparison with pulmonary function tests. Acad Radiol 2009;16:250-6.   DOI
26 Sengul AT, Sahin B, Celenk C, Basoglu A. Postoperative lung volume change depending on the resected lobe. Thorac Cardiovasc Surg 2013;61:131-7.   DOI