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Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients
BACKGROUND: The influence of the diaphragm motion to the accuracy of postoperative lung function prediction after the lung resction is still debatable. METHODS: Prospective study that included 27 patients who underwent a lung resection for cancer. Diaphragm movements were assessed radiographically a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842649/ https://www.ncbi.nlm.nih.gov/pubmed/24238427 http://dx.doi.org/10.1186/1749-8090-8-213 |
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author | Subotic, Dragan R Stevic, Ruza Gajic, Milan Vesovic, Radomir |
author_facet | Subotic, Dragan R Stevic, Ruza Gajic, Milan Vesovic, Radomir |
author_sort | Subotic, Dragan R |
collection | PubMed |
description | BACKGROUND: The influence of the diaphragm motion to the accuracy of postoperative lung function prediction after the lung resction is still debatable. METHODS: Prospective study that included 27 patients who underwent a lung resection for cancer. Diaphragm movements were assessed radiographically and by ultrasonography before the operation and postoperatively, with the lung fully expanded. The relationship between the diaphragm movements and differences between ppo FEV(1) and measured postoperative FEV(1), was analysed by expressing diaphragm movements as preoperative diaphragm amplitudes, preoperative-postoperative amplitude differences or in relation to fixed intrathoracic distances. RESULTS: The mean difference between preoperative and postoperative diaphragm amplitudes of the diseased side was 2.42 ± 1.25 cm and 2.11 ± 2.04 cm when measured radiographically and by ultra sound respectively (p > 0.05). A significant positive correlation was found for the entire group only between the patients’ height and the differences ppo FEV(1) - actual FEV(1): the prediction was more unprecise in taller patients. With the cut-off value of 550 ml for differences between ppo FEV(1) and actual FEV(1), a significant inverse correlation was found only if the preoperative ipsilateral diaphragm amplitude was presented as a percentage of the preoperative apex-base distance in inspiration. For right-sided tumours, the greater the difference between preoperative and postoperative ipsilateral diaphragm amplitudes, the greater discrepancy between predicted and actual postoperative FEV(1.) For left-sided tumours, inverse correlation existed if the preoperative diaphragm amplitude was presented as a percentage of the preoperative distance apex-base. CONCLUSION: Diaphragm movements influence the accuracy of the postoperative lung function prediction. |
format | Online Article Text |
id | pubmed-3842649 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38426492013-12-06 Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients Subotic, Dragan R Stevic, Ruza Gajic, Milan Vesovic, Radomir J Cardiothorac Surg Research Article BACKGROUND: The influence of the diaphragm motion to the accuracy of postoperative lung function prediction after the lung resction is still debatable. METHODS: Prospective study that included 27 patients who underwent a lung resection for cancer. Diaphragm movements were assessed radiographically and by ultrasonography before the operation and postoperatively, with the lung fully expanded. The relationship between the diaphragm movements and differences between ppo FEV(1) and measured postoperative FEV(1), was analysed by expressing diaphragm movements as preoperative diaphragm amplitudes, preoperative-postoperative amplitude differences or in relation to fixed intrathoracic distances. RESULTS: The mean difference between preoperative and postoperative diaphragm amplitudes of the diseased side was 2.42 ± 1.25 cm and 2.11 ± 2.04 cm when measured radiographically and by ultra sound respectively (p > 0.05). A significant positive correlation was found for the entire group only between the patients’ height and the differences ppo FEV(1) - actual FEV(1): the prediction was more unprecise in taller patients. With the cut-off value of 550 ml for differences between ppo FEV(1) and actual FEV(1), a significant inverse correlation was found only if the preoperative ipsilateral diaphragm amplitude was presented as a percentage of the preoperative apex-base distance in inspiration. For right-sided tumours, the greater the difference between preoperative and postoperative ipsilateral diaphragm amplitudes, the greater discrepancy between predicted and actual postoperative FEV(1.) For left-sided tumours, inverse correlation existed if the preoperative diaphragm amplitude was presented as a percentage of the preoperative distance apex-base. CONCLUSION: Diaphragm movements influence the accuracy of the postoperative lung function prediction. BioMed Central 2013-11-18 /pmc/articles/PMC3842649/ /pubmed/24238427 http://dx.doi.org/10.1186/1749-8090-8-213 Text en Copyright © 2013 Subotic et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Subotic, Dragan R Stevic, Ruza Gajic, Milan Vesovic, Radomir Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title | Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title_full | Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title_fullStr | Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title_full_unstemmed | Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title_short | Diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
title_sort | diaphragm motion and lung function prediction in patients operated for lung cancer – a pilot study on 27 patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842649/ https://www.ncbi.nlm.nih.gov/pubmed/24238427 http://dx.doi.org/10.1186/1749-8090-8-213 |
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