TY - JOUR T1 - Video-assisted thoracoscopic surgery decrease the physical performances of lung cancer patients: Short-term prospective study JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P4292 AU - Kunihiko Anami AU - Yoshiyasu Hirayama AU - Naoki Yamashita AU - Yoichi Tsukuda AU - Jun Horie Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P4292.abstract N2 - Introduction: Video-assisted thoracoscopic surgery (VATS) is considered as a minimally invasive method, and recently it has become a standard operative procedure for lung cancer. However, it is not clear how VATS affects physical performances and psychological function. The purpose of this prospective study was to clarify the short-term effect of VATS to physical performances and psychological functions in patients with lung cancer.Methods: Participants with lung cancer were recruited (n = 18; mean ± SD age, 71.9 ± 6.9 years). We measured physical performances (pulmonary function, respiratory muscle strength, grip strength, knee extension strength, timed up and go test, 6-minutes walking test) and psychological functions (cancer fatigue scale, hospital anxiety depression scale, short-form 8 items health survey) at before and after VATS.Results: The median length of hospital stay was 8.0 (range, 5.0-21.0) days. The %FVC (p < 0.001), %FEV1.0 (p < 0.001), maximal expiratory pressure (p = 0.046), grip strength (p = 0.040), timed up and go test (p = 0.041) and 6-munites walking test distance (p = 0.043) decreased significantly after VATS. There were no significant differences in psychological functions between before and after VATS.Conclusion: VATS decreased the physical performances in patients with lung cancer in short-term. Therefore, it is necessary to provide effective postoperative rehabilitation to improve these decreased physical performances. ER -