Cardiothoracic Surgery |

Pulmonary Impairment and Quality of Life in Patients After Segmentectomy and Lobectomy for Tuberculosis FREE TO VIEW

Mikhail Chushkin*, MD; Oleg Ots, MD; Sergey Mandrykin, MD; Eduard Tikhokhod, MD; Sergey Smerdin, MD
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Research Institute of Phthisiopulmonology, Moscow, Russian Federation

Chest. 2012;142(4_MeetingAbstracts):67A. doi:10.1378/chest.1385667
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SESSION TYPE: Thoracic Surgery Posters II

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: In 2008 in Russia 12275 patients were submitted to thoracic surgery for pulmonary tuberculosis. Segmentectomies made up 61,7% of all operations and lobectomies made up 15,3% of the operations. The aim of this study was to assess long-term results of lung resection for pulmonary tuberculosis.

METHODS: We investigated quality of life (QoL) and pulmonary function in 76 patients after lung resection. Of these 76 patients, 37 underwent single lobectomy (group L) and 39 underwent segmentectomy (group S). All postoperative examinations were performed more than one year after surgery. QoL was studied with St. George's Respiratory Questionnaire (SGRQ) and UCSD Shortness of Breath Questionnaire (SOBQ). Pulmonary function was studied by spirometry and plethysmography.

RESULTS: In patients in group S and group L, respectively, age was 39,9±11,6 years and 49,1±14,1 years (respectively, p<0.05); body mass index was 24,5±3,9 kg/m2 and 23,7±4,2 kg/m2 (p>0.05). In patients in group S and group L, respectively, FVC were 103,8±13,6% and 102,9±15,3% (p>0.05); FEV1 were 91,3±16,7% and 84,5±16,5% (p>0.05); FEV1/FVC were 0,74±0,13 and 0,68±0,13 (p>0.05); PEF were 88,9± 24,0% and 75,2± 19,4% (p<0.05); TLC were 99,4±10,4% and 98,3±12,6% (p>0.05); FRC were 110,3±26,6% and 109,7±27,7% (p>0.05); IC were 89,5±17,5% and 89,6±18,8% (p>0.05); RV/TLC were 0,26±0,83 and 0,32±0,12 (p<0.05); IC/TLC were 0,45±0,10 and 0,43±0,09 (p>0.05); Symptoms SGRQ scores were 16,4±17,8% and 31,5±22,6% (difference was 15,1 points, p<0.01); Activity SGRQ score were 16,5±17,2% and 30,6±19,3% (difference was 14,1 points, p<0.01); Impact SGRQ scores were 8,8±14,5% and 17,5±15,8% (difference was 8,7 points, p<0.05); Total SGRQ score were 12,2±15,0% and 23,7±16,0% (difference was 11,5 points, p<0.01); SOBQ scores were 7,1±9,3% and 16,1±15,2% (difference was 9,0 points; p>0.05). In group S airway obstruction (FEV1/FVC <0.7) was 28,2% and in group L airway obstruction was 43,2% (OR 1.94; CI 95% 0.75 to 5.03; p>0,05). In groups S and L low pulmonary function (FEV1<80%) was 12,8% and 32,4% (OR 3.26; CI 95% 1.02 to 10.45; p>0,05).

CONCLUSIONS: QoL in patients after lobectomy was significantly worse than in patients after segmentectomy, though the results of pulmonary function were almost the same.

CLINICAL IMPLICATIONS: The patients after lobectomy need more active treatment including pulmonary rehabilitation.

DISCLOSURE: The following authors have nothing to disclose: Mikhail Chushkin, Oleg Ots, Sergey Mandrykin, Eduard Tikhokhod, Sergey Smerdin

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Research Institute of Phthisiopulmonology, Moscow, Russian Federation




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