Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Rt. Pneumonectomy in a Lung Cancer Patient with Poor Pulmonary function Test - A Case Report -

폐 기능검사가 불량한 2기 폐암환자에서 시행한 우전폐절제술 - l예 보고 -

  • Jin, Ung (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Lee, Sun-Hee (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Chon, Jin-Young (Department of Anesthesiology, Catholic University Medical College) ;
  • Hong, Sung-Jin (Department of Anesthesiology, Catholic University Medical College) ;
  • Sim, Sung-Bo (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Park, Jae-Kil (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College) ;
  • Kwack, Moon-Sub (Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College)
  • 진웅 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 이선희 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 전진영 (가톨릭대학교 의과대학 마취과학교실) ;
  • 홍성진 (가톨릭대학교 의과대학 마취과학교실) ;
  • 심성보 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박재길 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 곽문섭 (가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2000.12.01
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Abstract

Pulmonary function test is used as a guideline for safe pulmonary resection without complications. Usually FEVl lower than 1 liter is considered as a contraindication of lobectomy. Therefore, the curative operation of resectable lung cancer can not be performed in the case of poor pulmonary functions. Nowadays, there are some arguing points about the value of preoperative PFTs before the pulmonary resection. We performed a right pneumonectomy for stage H lung cancer in a patient with poor lung function test; FVC 2.17L, FEVl 0.97L, FEVl/FVC 44%, FEF 25-75％ 0.42L/sec, MVV 28L/min, TLC 5.18L, RV 2.99. During 4 months follow up, the patient had been tolerable. The follow up PFTs at postoperative 3 months 18 days showed up as follows; FVC 1.20L, FEVI 0.63L, FEVl/FVC 53%, FEF 25-75% 0.31L/sec, MVV 25L/min, TLC 3.80L, RV 2.33L.

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