2Department of Thoracic Surgery, School of Medicine, Ege University, İzmir, Türkiye
3Department of Chest Diseases, School of Medicine, Ege University, İzmir, Türkiye
4Department of Thoracic Surgery, Avrasya Hospital, Istanbul, Türkiye DOI : 10.26663/cts.2025.023 Viewed : 8 - Downloaded : 7 Background: In this study, it was planned to improve the respiratory and metabolic capacities of patients who will be operated for lung cancer in the preoperative period. Thus, the effect of preoperative pulmonary rehabilitation (PPR) on postoperative morbidity / mortality rates and the duration of hospital stay was investigated.
Materials and Methods: Between July 2020 and February 2021, 43 patients who were operated for lung cancer were evaluated prospectively. Group I (n = 20) patients were included in the PPR program for 2 weeks preoperatively. PPR was not applied to the control group, Group II (n = 23) patients. Demographic findings of the cases, postoperative length of stay and drain duration, postoperative complication development were compared.
Results: The mean age of Group I was 63.60 ± 5.87 (54-75), while that of Group II was 60.78 ± 13.30 (32-83). Surgical mortality was not observed in any patient. While morbidity was observed in 7 (35%) patients in Group I and 13 (65%) patients in Group II (p = 0.158). The postoperative hospital stay of Group I was found to be statistically significantly lower than Group II (p = 0.026). It was determined that the drain stay time of Group I patients was shorter than Group II (p = 0.009).
Conclusion: It was seen that the importance of preoperative pulmonary rehabilitation was high in achieving less complications and shorter hospital stay in the postoperative period in patients who underwent pulmonary rehabilitation due to lung cancer surgery.
Keywords : lung surgery, non-small cell lung cancer, pulmonary rehabilitation, morbidity