論文

国際誌
2022年11月3日

Effect of resected lung lobe on the prediction of postoperative pulmonary function.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • Takamasa Shibazaki
  • ,
  • Shohei Mori
  • ,
  • Yuki Noda
  • ,
  • Yo Tsukamoto
  • ,
  • Daiki Kato
  • ,
  • Takeo Nakada
  • ,
  • Mitsuo Yabe
  • ,
  • Hideki Matsudaira
  • ,
  • Jun Hirano
  • ,
  • Takashi Ohtsuka

62
6
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/ejcts/ezac480

OBJECTIVES: This study examined whether a resected lung lobe can affect the accuracy of postoperative forced expiratory volume in 1 s (FEV1) predicted using the subsegment counting method and three-dimensional computed tomography (3D-CT) volumetry. METHODS: Overall, 125 patients who underwent lobectomy through video-assisted thoracic surgery were enrolled in this retrospective study. Pulmonary function tests were performed preoperatively and postoperatively at 3 months. We defined the accuracy index as the ratio of predicted postoperative FEV1 to measured postoperative FEV1 and compared the accuracy index of the subsegment counting method and 3D-CT volumetry. Factors affecting the accuracy index were also examined. RESULTS: The accuracy index of the subsegment counting method was 0.94 ± 0.12, versus 0.93 ± 0.11 for 3D-CT volumetry (P = 0.539). There was a significant difference among the resected lobes in the accuracy index of the subsegment counting method (P < 0.001) but not in that of 3D-CT volumetry (P = 0.370). The resected lobe, the number of staples used for interlobar dissection and interstitial pneumonia were significantly associated with the accuracy index of the subsegment counting method (all P < 0.001). The number of staples and interstitial pneumonia were significantly associated with the accuracy index of 3D-CT volumetry (P < 0.001, respectively), whereas the resected lobe was not a significant factor (P = 0.240). CONCLUSIONS: The resected lobe affected the accuracy of the subsegment counting method but not that of 3D-CT volumetry. Furthermore, 3D-CT volumetry predicted postoperative FEV1 independent of the resected lobe.

リンク情報
DOI
https://doi.org/10.1093/ejcts/ezac480
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36171679
ID情報
  • DOI : 10.1093/ejcts/ezac480
  • PubMed ID : 36171679

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