{"title":"重症慢性阻塞性肺疾病患者COVID-19后肺癌切除术1例","authors":"Shumpei Kato MD , Takashi Sakai MD, PhD , Megumi Kusano MD , Satoshi Koezuka MD, PhD , Yoko Azuma MD, PhD , Akira Iyoda MD, PhD","doi":"10.1016/j.atssr.2025.02.004","DOIUrl":null,"url":null,"abstract":"<div><div>Evidence regarding the safety of thoracic surgery after COVID-19 is insufficient. The postoperative complication rate is high in patients with comorbidities, including chronic obstructive pulmonary disease, who undergo thoracic surgery. Herein we report a woman with advanced lung cancer associated with severe pulmonary dysfunction with a percentage of predicted forced expiratory volume in 1 second of 44.5% and percentage of predicted diffusion capacity of the lung for carbon monoxide of 38.9% due to chronic obstructive pulmonary disease detected after COVID-19. Curative resection was safely performed with perioperative management including respiratory physiotherapy, inhalation therapy, and adequate preoperative waiting period.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 704-707"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Resection of Lung Cancer After COVID-19 in a Patient With Severe Chronic Obstructive Pulmonary Disease\",\"authors\":\"Shumpei Kato MD , Takashi Sakai MD, PhD , Megumi Kusano MD , Satoshi Koezuka MD, PhD , Yoko Azuma MD, PhD , Akira Iyoda MD, PhD\",\"doi\":\"10.1016/j.atssr.2025.02.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Evidence regarding the safety of thoracic surgery after COVID-19 is insufficient. The postoperative complication rate is high in patients with comorbidities, including chronic obstructive pulmonary disease, who undergo thoracic surgery. Herein we report a woman with advanced lung cancer associated with severe pulmonary dysfunction with a percentage of predicted forced expiratory volume in 1 second of 44.5% and percentage of predicted diffusion capacity of the lung for carbon monoxide of 38.9% due to chronic obstructive pulmonary disease detected after COVID-19. Curative resection was safely performed with perioperative management including respiratory physiotherapy, inhalation therapy, and adequate preoperative waiting period.</div></div>\",\"PeriodicalId\":72234,\"journal\":{\"name\":\"Annals of thoracic surgery short reports\",\"volume\":\"3 3\",\"pages\":\"Pages 704-707\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of thoracic surgery short reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772993125000889\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993125000889","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Resection of Lung Cancer After COVID-19 in a Patient With Severe Chronic Obstructive Pulmonary Disease
Evidence regarding the safety of thoracic surgery after COVID-19 is insufficient. The postoperative complication rate is high in patients with comorbidities, including chronic obstructive pulmonary disease, who undergo thoracic surgery. Herein we report a woman with advanced lung cancer associated with severe pulmonary dysfunction with a percentage of predicted forced expiratory volume in 1 second of 44.5% and percentage of predicted diffusion capacity of the lung for carbon monoxide of 38.9% due to chronic obstructive pulmonary disease detected after COVID-19. Curative resection was safely performed with perioperative management including respiratory physiotherapy, inhalation therapy, and adequate preoperative waiting period.