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Titolo:
ALTERATIONS IN PULMONARY-FUNCTION AFTER RETROPERITONEOSCOPIC SURGERY
Autore:
CHUNG HJ; CHIU AW; CHEN KK; HUANG WJS; HSU YS; CHANG LS;
Indirizzi:
NATL YANG MING UNIV,SCH MED,VET GEN HOSP,DEPT SURG,DIV UROL,NO 201,SECT 2,SHIH PAI RD TAIPEI 112 TAIWAN NATL YANG MING UNIV,SCH MED,VET GEN HOSP,DEPT SURG,DIV UROL TAIPEI 112 TAIWAN
Titolo Testata:
British Journal of Urology
fascicolo: 6, volume: 78, anno: 1996,
pagine: 821 - 825
SICI:
0007-1331(1996)78:6<821:AIPARS>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER ABDOMINAL-SURGERY; LAPAROSCOPIC NEPHRECTOMY; CHOLECYSTECTOMY; EXPERIENCE;
Keywords:
LAPAROSCOPY; FLANK INCISION; LUNG FUNCTION; RETROPERITONEAL SPACE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
H.J. Chung et al., "ALTERATIONS IN PULMONARY-FUNCTION AFTER RETROPERITONEOSCOPIC SURGERY", British Journal of Urology, 78(6), 1996, pp. 821-825

Abstract

Objective To evaluate and compare changes in pulmonary function afterretroperitoneoscopic and open surgery. Patients and methods From June1994 to October 1995, 11 patients (five men and six women, mean age 44.7 years, range 29-69) underwent retroperitoneoscopic procedures (Group 1) and 11 patients (eight men and three women, mean age 57.5 years,range 22-73) underwent flank-incision procedures (Group 2). The surgery comprised eight adrenalectomies and one each of nephroureterectomy,nephrectomy and pyelolithotomy in Group 1, and five adrenalectomies, four nephroureterectomies, one ureterolithotomy and one excision of a retroperitoneal tumour in Group 2, Pulmonary function tests (PFTs) were performed before and 3 days after surgery; the forced vital capacity(FVC), forced expiratory volume in 1 s (FEV(1)), forced expiratory volume at 25% (FEV(25%)), FEV(1)/FVC, vital capacity (VC), total lung capacity (TLC), residual lung volume (RV) and functional residual capacity (FRC) were compared between the groups. The postoperative changes in the PFTs were assessed using a paired t-test and the degree of change in both groups compared using the Mann-Whitney U-test, Other factorspossibly influencing PFT were analysed using multiple regression. Results Pulmonary function was impaired in both groups on the third day after surgery, In Group 2, the FVC, FEV(1), FEV(25%), VC and TLC had declined significantly (all P<0.05) from the pre-operative value. In Group 1, only the FVC and VC decreased significantly (P<0.05), Post-operative pulmonary complications occurred in two patients in Group 2 but in none of those in Group 1, showing that pulmonary function was generally less affected in Group 1 than in Group 2.Conclusion Although pulmonary function was impaired 3 days after surgery in both groups, retroperitoneoscopic surgery, by eliminating a large flank incision, caused less post-operative pulmonary dysfunction than open surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 17:37:20