Complications after video-assisted thoracic surgery in patients with pulmonary nontuberculous mycobacterial lung disease who underwent preoperative pulmonary rehabilitation

Abstract

[Purpose] Video-assisted thoracic surgery and preoperative pulmonary rehabilitation are effective in preventing postoperative complications in patients with cardiopulmonary disease. The present study aims to elucidate the presence of postoperative pneumonia and atelectasis in patients with nontuberculous mycobacterial lung disease who underwent lung resection with video-assisted thoracic surgery and preoperative pulmonary rehabilitation. [Subjects and Methods] Nineteen patients with nontuberculous mycobacterial lung disease who had undergone lung resection with video-assisted thoracic surgery and preoperative pulmonary rehabilitation were enrolled in this study. The presence of postoperative pneumonia and atelectasis was evaluated, and preoperative and postoperative pulmonary functions were compared. [Results] Postoperative pneumonia and postoperative atelectasis were not observed. Decreases of pulmonary function were 5.9% (standard deviation, 8.5) in forced vital capacity (percent predicted) and 9.6% (standard deviation, 11.1) in forced expiratory volume in 1 s (percent predicted). [Conclusion] The present study indicates that the combination of lung resection with video-assisted thoracic surgery and preoperative pulmonary rehabilitation in patients with nontuberculous mycobacterial lung disease may be effective in preventing postoperative complications.

Outcomes of Resectional Thoracic Surgery for the Treatment of Pulmonary Nontuberculous Mycobacterial Disease in 105 Patients in the United States

“…These studies showed high rates of sputum conversion and low postoperative mortality rates, with moderate complication rates. [3][4][5][6][7]9 Others have reported higher postoperative complication and mortality rates, but with favorable outcomes overall. 9,10 The overall complication rate at 3 months after surgery was 26% in our study with a death rate of 5%, which was comparable with previous studies.…”

“…3 Videoassisted thoracoscopic surgery (VATS) has been reported to be associated with fewer complications than traditional thoracotomy. 4 To date, only limited data exist on pulmonary resection for pulmonary NTM disease. [3][4][5][6][7][8] Accordingly, we examined surgical outcomes in patients who received pulmonary resections at two large NTM treatment centers in the United States.…”

“…4 To date, only limited data exist on pulmonary resection for pulmonary NTM disease. [3][4][5][6][7][8] Accordingly, we examined surgical outcomes in patients who received pulmonary resections at two large NTM treatment centers in the United States.…”

The thickness of erector spinae muscles can be easily measured by computed tomography for the assessment of physical activity: An observational study

“…In some patients who are difficult to treat by chemotherapy, surgical treatment should be considered. [ 20 , 36 ] Patients with NTM pulmonary diseases showed lower FVC and FEV 1 values than healthy controls, [ 37 ] and the disease severity can affect body weight and nutrition status. [ 38 ] In our study, the physical activity of patients with NTM pulmonary diseases might be related to skeletal muscle mass.…”