In conclusion , preoperative exercise-based training improves pulmonary function before surgery and reduces in-hospital length of stay and postoperative complications after lung resection surgery for lung cancer
Lung cancer is the leading cause of cancer-related death worldwide .
For early stages of the disease , lung resection surgery remains the best treatment with curative intent , but significant morbidity is associated , especially among patients with poor pulmonary function and cardiorespiratory fitness .
In those cases , the implementation of a preoperative exercise-based intervention could optimize patient 's functional status before surgery and improve postoperative outcomes and enhance recovery .
The aim of this systematic review is to provide the current body of knowledge regarding the effectiveness of a preoperative exercise-based intervention on postoperative and functional outcomes in patients with lung cancer su bmi tted to lung resection surgery .
Outcomes after lobectomy using thoracoscopy vs thoracotomy: a comparative effectiveness analysis utilizing the Nationwide Inpatient Sample database.
OBJECTIVES We examined the Nationwide Inpatient Sample ( NIS ) data base to compare short-term postoperative outcomes following  open and thoracoscopic lobectomy . Thoracoscopic ( video-assisted thoracic surgery ) lobectomy has been demonstrated to be associated with fewer postoperative complications compared with open thoracotomy lobectomy in several large case series . However , as no r and omized trial has been performed , there are many who question this . METHODS We examined the NIS data base for all patients undergoing lobectomy as their principal procedure either via thoracoscopic or open thoracotomy from 2007 to 08 . We compared the postoperative outcomes of these two groups of patients after propensity matching these groups based on several preoperative variables . RESULTS Over a 2-year-period , 68 350 patients underwent a lobectomy by either thoracoscopy [ n = 10 554 ( 15 % ) ] or thoracotomy [ n = 57 796(85 % ) ] . Thirty-two percent of thoracoscopic lobectomies ( n = 3421 ) were performed in either rural or non-teaching urban centres . Although in propensity-matched cohorts there was no difference in operative mortality , thoracoscopic lobectomy was associated with a lower incidence of postoperative complications [ n = 4146 ( 40.8 % ) vs n = 13 913 ( 45.1 % ) , P < 0.001 ] and shorter length of stay ( 5.0 vs 7.0 days ; P < 0.001 ) compared with open lobectomy . Specifically , the incidences of supraventricular arrhythmias , myocardial infa rct ion , pulmonary embolism and empyema were lower . CONCLUSIONS This large national data base study demonstrates that thoracoscopic lobectomy is associated with fewer in-hospital postoperative complications compared with open lobectomy . Thoracoscopic lobectomy appears to be applicable to the wider general thoracic surgical community
In conclusion , preoperative exercise-based training improves pulmonary function before surgery and reduces in-hospital length of stay and postoperative complications after lung resection surgery for lung cancer
Lung cancer is the leading cause of cancer-related death worldwide .
For early stages of the disease , lung resection surgery remains the best treatment with curative intent , but significant morbidity is associated , especially among patients with poor pulmonary function and cardiorespiratory fitness .
In those cases , the implementation of a preoperative exercise-based intervention could optimize patient 's functional status before surgery and improve postoperative outcomes and enhance recovery .
The aim of this systematic review is to provide the current body of knowledge regarding the effectiveness of a preoperative exercise-based intervention on postoperative and functional outcomes in patients with lung cancer su bmi tted to lung resection surgery .