Abstract:
PURPOSE:We report two cases of perioperative rehabilitation for abdominal cancer patients aged 75 years and older with severe chronic obstructive pulmonary disease (COPD). CASE DESCRIPTION:Case 1 was a 75-year-old man with COPD and 52-year history of smoking 30 cigarettes per day. The patient was diagnosed with gastric cancer and scheduled for laparoscopic total gastrectomy. Preoperative forced expiratory volume in 1 second (FEV1) was 0.64 L. He could walk with intermittent rest. Case 2 was an 81-year-old woman with COPD, bronchial asthma and 40-year history of smoking 20 cigarettes per day. She was diagnosed with transverse colon cancer and scheduled for laparoscopic-assisted partial transverse colectomy. Preoperative FEV1 was 0.70 L. She could walk indoors with T-cane. RESULTS:All staff started performing tasks simultaneously a week before surgery. Both patients were extubated soon after surgery; they could sit and take deep breaths soon after admission to intensive care unit. They could perform stepping movements early next morning, return to the general ward in the afternoon and started gait training. Because both patients could independently perform activities of daily living, they were discharged on postoperative day 13. CONCLUSION:Comprehensive perioperative rehabilitation appears to be effective in high-risk patients with severe COPD who need surgery for abdominal cancer.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Kii Y,Mizuma M,Kawate Ndoi
10.3109/09638288.2011.591890subject
Has Abstractpub_date
2012-01-01 00:00:00pages
174-7issue
2eissn
0963-8288issn
1464-5165journal_volume
34pub_type
杂志文章abstract::Background: Physical activity confers many physical and psychosocial benefits for adolescent and young adult cancer survivors, yet most are not active enough to accrue benefits. Parental support for physical activity may be important to consider when exploring factors that influence physical activity in this populatio...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2020-01-19 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280400007802
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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