Ribcage kinematics during exercise justifies thoracoscopic over thoracotomy lobectomy prompt recovery

Mauro, A. Lo; Palleschi, Alessandro; Privitera, Emilia; Chiesa, Melania; Cattaneo, M.; Santambrogio, Martina; Nosotti, Mario; Aliverti, Andréa

doi:10.1183/13993003.congress-2016.oa1988

Cited by 1 publication

(2 citation statements)

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“…These findings might thus aid in the development of tailored chest physiotherapy following thoracotomy. Furthermore, compartmental analysis of breathing movements with the OEP allows to assess the effect of the amount of lung resected on chest wall movement (31) and the feasibility of this system to evaluate the impact of the surgical approach on respiratory impairment has been established by Lo Mauro et al (31,32). Some limitations are present in this review.…”

Section: Discussionmentioning

confidence: 97%

“…Furthermore, patients treated with lobectomy revealed significantly greater asynchrony between the operated and healthy thoracic wall than those undergoing wedge resection (P=0.02). A more recent study investigated the impact of the surgical technique on respiratory mechanics using the OEP (32). Comparison of MIS lobectomy with an open approach showed better preservation of ribcage expansion in the former approach.…”

Section: Measurement Of Chest Volumementioning

confidence: 99%

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Assessment of chest wall movement following thoracotomy: a systematic review

et al. 2020

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Thoracotomy is a major cause of respiratory impairment, increasing the risk of postoperative pulmonary complications (PPC). Systems assessing ribcage kinematics may detect changes in chest expansion following thoracotomy and may thus aid in the development of patient-tailored chest physiotherapy.Hence, we aimed to identify studies assessing changes in chest wall movement following thoracotomy using objective measures. The Cochrane library, MEDLINE, EMBASE, Scopus and Web of Science databases were searched to find relevant articles providing an objective assessment of chest wall movement following thoracotomy. Methodological quality of included studies concerning chest wall movement following thoracotomy was assessed by use of QUADAS-2 tool. A total of 12 articles were included for the assessment of chest wall changes following thoracotomy using objective measures. Four studies measured changes in the cross-sectional area of the ribcage and abdomen using the respiratory inductive plethysmography (RIP), 1 study computed the chest wall compliance by monitoring the intra-pleural pressure, 3 studies measured changes in chest circumference with a simple tape measure and 4 articles performed a compartmental analysis of the chest wall volume by means of an optoelectronic plethysmography (OEP). There was no delay in the collection of data of the index test and reference standard, resulting in a low risk of bias for the flow and timing domain. Across all studies, participants underwent the same reference standard, resulting in a low risk of verification bias. Several objective measures were able to detect changes in chest wall displacement following thoracotomy and differed in the practical use and invasive nature. OEP allows a compartmental analysis of the chest wall volume. Hence, this system allows to assess chest wall movement changes following thoracotomy and the impact of different types of surgical approach. Furthermore, it could aid in the development of tailored physiotherapy.

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Section: Discussionmentioning

confidence: 97%

Section: Measurement Of Chest Volumementioning

confidence: 99%