A Resected Case Whose Poor Pulmonary Function was Improved through Preoperative Comprehensive Respiratory Rehabilitation
Handa, Y.; Harada, H.; Yamashita, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 68(10): 850-853
2015
ISSN/ISBN: 0021-5252 PMID: 26329630 Document Number: 684490
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.