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Rationale and clinical benefits of an intensive long-term pulmonary rehabilitation program after oesophagectomy: preliminary report

Author(s): Lococo Filippo | Cesario Alfredo | Sterzi Silvia | Magrone Giovanni | Dall’Armi Valentina | Mattei Francesca | Varone Francesco | Porziella Venanzio | Margaritora Stefano | Granone Pierluigi

Journal: Multidisciplinary Respiratory Medicine
ISSN 2049-6958

Volume: 7;
Issue: 1;
Start page: 21;
Date: 2012;
Original page

Keywords: Chest physical therapy | Oesophagectomy | Rehabilitation | Surgery

Abstract Patients who undergo oesophagectomy for oesophagealcancer (OC) usually have an overall poor prognosis and, still more preoccupying, an unsatisfactory quality of life (QoL). Considering that, as already noted, post-operative pulmonary function has a strong correlation with the long-term outcome and QoL after surgery, we have assumed and speculated on the clinical benefits of an intensive long-term pulmonary post-operative rehabilitation program in this particular subset of patients. Herein, we report the preliminary results of a comparative retrospective analysis in a series of 58 patients who underwent radical oesophagectomy and post-operative chest physical therapy (CPT) under two different protocols, from October 2006 to January 2011. Finally, we discuss on the time-trend analysis of pulmonary function and the potential role of post-operative pulmonary rehabilitation.

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