Lococo Filippo, Cesario Alfredo, Sterzi Silvia, Magrone Giovanni, Dall'armi Valentina, Mattei Francesca, Varone Francesco, Porziella Venanzio, Margaritora Stefano, Granone Pierluigi
Department of General Thoracic Surgery, Catholic University of the Sacred Heart, Largo F, Vito 1, Rome, Italy.
Multidiscip Respir Med. 2012 Jul 28;7(1):21. doi: 10.1186/2049-6958-7-21.
Patients who undergo oesophagectomy for oesophagealcancer (OC) usually have an overall poor prognosis and, still more preoccupying, an unsatisfactory quality of life (QoL). Considering that, as already noted, post-operative pulmonary function has a strong correlation with the long-term outcome and QoL after surgery, we have assumed and speculated on the clinical benefits of an intensive long-term pulmonary post-operative rehabilitation program in this particular subset of patients.Herein, we report the preliminary results of a comparative retrospective analysis in a series of 58 patients who underwent radical oesophagectomy and post-operative chest physical therapy (CPT) under two different protocols, from October 2006 to January 2011.Finally, we discuss on the time-trend analysis of pulmonary function and the potential role of post-operative pulmonary rehabilitation.
接受食管癌(OC)食管切除术的患者通常总体预后较差,更令人担忧的是生活质量(QoL)不尽人意。鉴于如前所述,术后肺功能与手术的长期结局和生活质量密切相关,我们设想并推测了针对这一特定患者群体的强化长期术后肺部康复计划的临床益处。在此,我们报告了一项比较性回顾性分析的初步结果,该分析涉及2006年10月至2011年1月期间接受根治性食管切除术并按照两种不同方案进行术后胸部物理治疗(CPT)的58例患者。最后,我们讨论了肺功能的时间趋势分析以及术后肺部康复的潜在作用。