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Ann Thorac Surg 1994;57:1302-1304
© 1994 The Society of Thoracic Surgeons

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Articles

Pulmonary function after sleeve lobectomy

Department of Thoracic Surgery, Academic Hospital Leiden, and Pulmonary Medicine, Nuclear Medicine, and Thoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands

Accepted for publication September 28, 1993.

^_* Address reprint requests to Dr Huysmans, Academic Hospital Leiden, PO Box 9600; 2300 RC Leiden, the Netherlands.

Preoperative and postoperative pulmonary function of 109 sleeve lobectomy patients (90 right upper lobe, 10 left upper lobe, and 9 left lower lobe) were evaluated over a period of 30 years. Ninety-eight men and 11 women, with a mean age of 60 years, were reviewed. The diagnosis was lung cancer in 97 patients and carcinoid tumors in 12 patients. Indications for operation were anatomic suitability in 103 patients, and impaired pulmonary function (forced expiratory volume in 1 second (FEV₁) less than 1,200 mL) in 6 patients. The predicted postoperative FEV₁ was calculated and compared with the measured postoperative FEV₁. Preoperative spirometry and split pulmonary radionuclide ventilation/perfusion scans were used to calculate the predicted postoperative FEV₁. Postoperative spirometry had been performed 125 days after operation (range, 25 to 342 days). Our results showed a gradual improvement in postoperative pulmonary function. A complete and stable condition was reached 4 months after operation. Correlation between the predicted (mean, 2,097 mL) and measured FEV₁, (mean, 2,067 mL) was good (linear regression and correlation test; r = 0.72). These values did not differ significantly (Wilcoxon signed rank test; p = 0.81). Our findings indicated a complete recovery of the reimplanted lung lobes after sleeve lobectomy.

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