Evaluation of respiratory muscle strength by randomized controlled trial comparing thoracoscopy, transaxillary thoracotomy, and posterolateral thoracotomy for lung biopsy

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Alain BernardJean-Pierre Favre

Abstract

The aim of this study was to demonstrate that the postoperative recovery of respiratory muscle strength is better in patients who undergo video-thoracoscopy than in patients who undergo transaxillary thoracotomy or posterolateral thoracotomy. Randomized controlled trial with three parallel groups. Eligible patients had undergone wedge resection for lung biopsy in interstitial lung disease or in pulmonary nodule. Twenty-four patients were randomly assigned to one of the three thoracic procedures: eight in the video-thoracoscopy (VT) group, eight in the transaxillary thoracotomy (TT) group, and eight in the posterolateral thoracotomy (PLT) group. The postoperative respiratory muscle strength was assessed by maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) measured by mouth pressure. Measurements were made the day before the operation and 2, 4, and 30 days after the operation. Changes in postoperative MIP and MEP were expressed as a percentage of preoperative values. The three groups were comparable with respect to age, gender, comorbidity, preoperative spirometry, preoperative MIP, MEP and peak flow, and volume of lung tissue. At 2, 4, and 30 days after the operation, mean MIP were, respectively, 111+/-22%...Continue Reading

Citations

Nov 12, 2013·The Annals of Thoracic Surgery·Mohammed M UzzamanDonald C Whitaker
Jun 25, 2013·The Annals of Thoracic Surgery·Yoshiyuki TokudaUNKNOWN Japan Adult Cardiovascular Database Organization
Oct 23, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Barbara Cristina BrockiElisabeth Westerdahl
Oct 5, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Antonella LoMauroAlessandro Palleschi
Jan 25, 2018·ERJ Open Research·Barbara Cristina BrockiJan Jesper Andreasen
Apr 14, 2021·The Journal of Pain : Official Journal of the American Pain Society·Emine Ozgur BaymanTimothy J Brennan

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