Adjustments in cardiorespiratory function after pneumonectomy: Results of the pneumonectomy project Jean Deslauriers, MD, Paula Ugalde, MD, Santiago.

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Presentation transcript:

Adjustments in cardiorespiratory function after pneumonectomy: Results of the pneumonectomy project Jean Deslauriers, MD, Paula Ugalde, MD, Santiago Miro, MD, Sylvie Ferland, MD, Sébastien Bergeron, MD, Yves Lacasse, MD, Steve Provencher, MD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 1, Pages 7-15 (January 2011) DOI: 10.1016/j.jtcvs.2010.09.010 Copyright © 2011 Terms and Conditions

Figure 1 Operative photograph taken during the first successful hilar dissection pneumonectomy performed in July 1933 by Edward Archibald at the Royal Victoria Hospital in Montreal. The operation was a left pneumonectomy performed through an anterolateral incision for a sarcoma of the left upper lobe. Dr Archibald is on the anesthetist’s left and to his left is Dr Norman Bethune. Facing Dr Archibald is Dr Arthur Vineberg. The patient survived the operation but later died of recurrent disease. Photograph from the Bethune Memorial House National Historic site of Canada, Parks Canada, and reproduced with the permission of Parks Canada, National Photo Collection. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 7-15DOI: (10.1016/j.jtcvs.2010.09.010) Copyright © 2011 Terms and Conditions

Figure 2 Pneumonectomy Project: recruitment and exclusion from study. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 7-15DOI: (10.1016/j.jtcvs.2010.09.010) Copyright © 2011 Terms and Conditions

Figure 3 Kaplan–Meier estimates of survival in 523 patients after pneumonectomy for lung cancer. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 7-15DOI: (10.1016/j.jtcvs.2010.09.010) Copyright © 2011 Terms and Conditions

Figure 4 Correlation between preoperative and postoperative FEV1. FEV1, Forced expiratory volume in second. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 7-15DOI: (10.1016/j.jtcvs.2010.09.010) Copyright © 2011 Terms and Conditions

Figure 5 Mean postoperative FEV1 in percent of predicted value in relation to the importance of hyperinflation of the remaining lung and side of pneumonectomy. ∗P < .01, ∗∗P < .05 compared with 76%–100% hyperinflation. FEV1, Forced expiratory volume in second. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 7-15DOI: (10.1016/j.jtcvs.2010.09.010) Copyright © 2011 Terms and Conditions