[A Surgical Case Report of Gastric Cancer Patient with Severe COPD Successfully Controlled by Preoperative Pulmonary Rehabilitation].
Gan To Kagaku Ryoho
; 47(13): 2012-2014, 2020 Dec.
Article
em Ja
| MEDLINE
| ID: mdl-33468784
ABSTRACT
A 72-year-old man with a history of chronic obstructive pulmonary disease(COPD)was diagnosed with type 3 gastric cancer at the posterior wall of the gastric body. Although there was no distant metastasis in preoperative imaging tests, pulmonary function test revealed severe obstructive ventilatory impairment, suggesting that the patient had high risks of perioperative pulmonary complications. After treatment for COPD and preoperative pulmonary rehabilitation under hospitalization for 2 weeks, laparoscopic distal gastrectomy plus D2 lymphadenectomy plus Roux-en-Y reconstruction was performed. The patient showed stable respiratory condition postoperatively, and was discharged from hospital on postoperative day 12 without serious postoperative complications. It was suggested that preoperative pulmonary rehabilitation reduced postoperative pulmonary complications and allowed safe surgery in patients with severe COPD.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
/
Laparoscopia
/
Doença Pulmonar Obstrutiva Crônica
Limite:
Aged
/
Humans
/
Male
Idioma:
Ja
Ano de publicação:
2020
Tipo de documento:
Article