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- W2989777934 abstract "Introduction: Video-assisted thoracoscopic surgery (VATS) lobectomy has been reported to decrease incidence of postoperative complications and chest pain compared to thoracotomy for lung cancer. Aims: This study aimed to reveal the postoperative recovery of respiratory muscle strength and dyspnea after lobectomy via VATS or posterolateral thoracotomy (PLT) for patients with non-small cell lung cancer (NSCLC) undergoing pulmonary rehabilitation (PR). Methods: We analyzed the data of 43 patients with NSCLC who underwent lobectomy via VATS (n=25) or PLT (n=18). They performed PR from 1 week before to 3 months after lobectomy. FVC, FEV1, 6-minute walk distance (6MD), maximal inspiratory (PImax) and expiratory (PEmax) mouth pressures, and mMRC dyspnea grade were evaluated preoperatively, and at 1 and 3 months after lobectomy (1M and 3M). (Ethics # 17R389) Results: There were no differences between VATS and PLT in the preoperative values of each parameter. As for the postoperative recovery of FVC, FEV1, PEmax, and 6MD, there were no differences between VATS and PLT. In VATS, PImax and mMRC at 1M (PImax 103±38% predicted; mMRC 1 [IQR 0-1]) and 3M (PImax 107±37% predicted; mMRC 0 [IQR 0-1]) did not become worse than preoperative values (PImax 99±35% predicted; mMRC 0 [0-1]). In PLT, PImax and mMRC at 1M deteriorated compared to preoperative values (PImax 90±23% vs 102±29% predicted and mMRC 1 [1-2] vs 0 [0-1], p Conclusions: We found that VATS lobectomy may be more beneficial than PLT in the early postoperative recovery of inspiratory muscle strength and dyspnea for patients with NSCLC undergoing PR." @default.
- W2989777934 created "2019-12-05" @default.
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- W2989777934 date "2019-09-28" @default.
- W2989777934 modified "2023-10-02" @default.
- W2989777934 title "Respiratory muscle strength and dyspnea after lobectomy via video-assisted thoracoscopic surgery or thoracotomy for lung cancer" @default.
- W2989777934 doi "https://doi.org/10.1183/13993003.congress-2019.oa3791" @default.
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