Maintaining quality of life after major lung resection for carcinoid tumor
Abstract Background Pulmonary carcinoid is a rare diagnosis with surgery remaining the standard treatment of choice. However, resection may impact patients’ daily activities due to decreased lung volume reserve and postoperative pain. Our study aims to compare the impact of different types of surgic...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02435-7 |
| _version_ | 1797556487868907520 |
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| author | Riad Abdel Jalil Farah A. Abdallah Zeinab Obeid Mohamad K. Abou Chaar Ahmad Khaled Harb Tariq Bassam Shannies Ahed El-Edwan Hussam Haddad Azza Ghraibeh Ahmad Abu-Shanab |
| author_facet | Riad Abdel Jalil Farah A. Abdallah Zeinab Obeid Mohamad K. Abou Chaar Ahmad Khaled Harb Tariq Bassam Shannies Ahed El-Edwan Hussam Haddad Azza Ghraibeh Ahmad Abu-Shanab |
| author_sort | Riad Abdel Jalil |
| collection | DOAJ |
| description | Abstract Background Pulmonary carcinoid is a rare diagnosis with surgery remaining the standard treatment of choice. However, resection may impact patients’ daily activities due to decreased lung volume reserve and postoperative pain. Our study aims to compare the impact of different types of surgical resection on the post-operative quality of life with the application of a strict peri-operative pulmonary care program. Methods Patients who underwent surgery for bronchopulmonary carcinoid tumors in a tertiary cancer center between August, 2017 and March, 2020 were identified and demographic data was collected. Patients were contacted via phone for the qualitative and quantitative assessment of pain and quality of life, utilizing the Arabic version of Short-form McGill Pain Questionnaire and Activity of Daily Living (ADL) instrument respectively. Lung reserve was assessed before and after surgery. Statistical analysis used Chi-Square for categorical variables and ANOVA for continuous variables. Results A total of 16 patients underwent different type of resection. The majority were male (n = 10; 63%) with a mean age of 44 years (19–81). Most common clinical stage was stage I (n = 12, 75%) with typical carcinoid features recorded in more than half of the cases (n = 11, 69%). Almost all patients underwent surgical excision (n = 15, 94%) with negative resection margin and no major post-operative complications. Bilobectomy was the most frequent procedure (n = 6, 40%) and video-assisted thoracoscopic surgery (VATS) was utilized in 8 patients (50%). Expected changes were recorded in pre- and postoperative pulmonary function test with an average drop of 10 in FEV1 and 14 mL/min/mmHg in DLCO. The majority of patients (n = 15, 94%) were totally independent doing daily activities. Mild intermittent pain was found in 7 patients (44%) who scored an average intensity of 1.6 out of 10. Conclusions Excellent long-term outcomes can be achieved following surgical resection of pulmonary carcinoid tumors with little to no effect on patients’ lung function and quality of life in regard to performance status and post-operative pain when a good peri-operative pulmonary, physical rehabilitation, and pain management programs are adopted and strictly implemented. |
| first_indexed | 2024-03-10T17:03:36Z |
| format | Article |
| id | doaj.art-1e0179d24dd74b469162940b1d5b73de |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-10T17:03:36Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-1e0179d24dd74b469162940b1d5b73de2023-11-20T10:53:01ZengBMCJournal of Cardiothoracic Surgery1749-80902023-11-011811610.1186/s13019-023-02435-7Maintaining quality of life after major lung resection for carcinoid tumorRiad Abdel Jalil0Farah A. Abdallah1Zeinab Obeid2Mohamad K. Abou Chaar3Ahmad Khaled Harb4Tariq Bassam Shannies5Ahed El-Edwan6Hussam Haddad7Azza Ghraibeh8Ahmad Abu-Shanab9Department of Thoracic Oncology, King Hussein Cancer CenterDepartment of Research, King Hussein Cancer CenterDepartment of Research, King Hussein Cancer CenterDepartment of Surgery, King Hussein Cancer CenterDepartment of Research, King Hussein Cancer CenterDepartment of Surgery, King Hussein Cancer CenterDepartment of Anesthesia, King Hussein Cancer CenterDepartment of Pathology and Laboratory Medicine, King Hussein Cancer CenterDepartment of Radiology, King Hussein Cancer CenterDepartment of Thoracic Oncology, King Hussein Cancer CenterAbstract Background Pulmonary carcinoid is a rare diagnosis with surgery remaining the standard treatment of choice. However, resection may impact patients’ daily activities due to decreased lung volume reserve and postoperative pain. Our study aims to compare the impact of different types of surgical resection on the post-operative quality of life with the application of a strict peri-operative pulmonary care program. Methods Patients who underwent surgery for bronchopulmonary carcinoid tumors in a tertiary cancer center between August, 2017 and March, 2020 were identified and demographic data was collected. Patients were contacted via phone for the qualitative and quantitative assessment of pain and quality of life, utilizing the Arabic version of Short-form McGill Pain Questionnaire and Activity of Daily Living (ADL) instrument respectively. Lung reserve was assessed before and after surgery. Statistical analysis used Chi-Square for categorical variables and ANOVA for continuous variables. Results A total of 16 patients underwent different type of resection. The majority were male (n = 10; 63%) with a mean age of 44 years (19–81). Most common clinical stage was stage I (n = 12, 75%) with typical carcinoid features recorded in more than half of the cases (n = 11, 69%). Almost all patients underwent surgical excision (n = 15, 94%) with negative resection margin and no major post-operative complications. Bilobectomy was the most frequent procedure (n = 6, 40%) and video-assisted thoracoscopic surgery (VATS) was utilized in 8 patients (50%). Expected changes were recorded in pre- and postoperative pulmonary function test with an average drop of 10 in FEV1 and 14 mL/min/mmHg in DLCO. The majority of patients (n = 15, 94%) were totally independent doing daily activities. Mild intermittent pain was found in 7 patients (44%) who scored an average intensity of 1.6 out of 10. Conclusions Excellent long-term outcomes can be achieved following surgical resection of pulmonary carcinoid tumors with little to no effect on patients’ lung function and quality of life in regard to performance status and post-operative pain when a good peri-operative pulmonary, physical rehabilitation, and pain management programs are adopted and strictly implemented.https://doi.org/10.1186/s13019-023-02435-7Bronchopulmonary carcinoidPulmonary functionQuality of lifePost-operative painPeri-operative pulmonary care program. |
| spellingShingle | Riad Abdel Jalil Farah A. Abdallah Zeinab Obeid Mohamad K. Abou Chaar Ahmad Khaled Harb Tariq Bassam Shannies Ahed El-Edwan Hussam Haddad Azza Ghraibeh Ahmad Abu-Shanab Maintaining quality of life after major lung resection for carcinoid tumor Journal of Cardiothoracic Surgery Bronchopulmonary carcinoid Pulmonary function Quality of life Post-operative pain Peri-operative pulmonary care program. |
| title | Maintaining quality of life after major lung resection for carcinoid tumor |
| title_full | Maintaining quality of life after major lung resection for carcinoid tumor |
| title_fullStr | Maintaining quality of life after major lung resection for carcinoid tumor |
| title_full_unstemmed | Maintaining quality of life after major lung resection for carcinoid tumor |
| title_short | Maintaining quality of life after major lung resection for carcinoid tumor |
| title_sort | maintaining quality of life after major lung resection for carcinoid tumor |
| topic | Bronchopulmonary carcinoid Pulmonary function Quality of life Post-operative pain Peri-operative pulmonary care program. |
| url | https://doi.org/10.1186/s13019-023-02435-7 |
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