MDPI Acta Medica Okayama 2227-9032 9 2 2021 Short-Term Impact of Video-Assisted Thoracoscopic Surgery on Lung Function, Physical Function, and Quality of Life 136 EN Yoshiteru Akezaki Division of Physical Therapy, Kochi Professional University of Rehabilitation Eiji Nakata Department of Orthopaedic Surgery, Okayama University Hospital Ritsuko Tominaga Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Orie Iwata Department of Rehabilitation Medicine, National Hospital Organization Tokushima Hospital Juichi Kawakami Department of Rehabilitation Medicine, Shiga Prefectural Rehabilitation Center Tetsuya Tsuji Department of Rehabilitation Medicine, Keio University School of Medicine Tsuyoshi Ueno Department of Thoracic Surgery, National Hospital Organization Shikoku Cancer Center Motohiro Yamashita Department of Thoracic Surgery, National Hospital Organization Shikoku Cancer Center Shinsuke Sugihara Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Background: Video-assisted thoracoscopic surgery (VATS) has been increasingly used as an approach for lung lobectomy. However, the recovery of respiratory and physical function may be insufficient at discharge because the average length of hospital stay is decreasing after surgery. In this study, we investigated the changes in physical function, lung function, and quality of life (QOL) of lung cancer patients after VATS, and factors for QOL were also evaluated. Methods: The subjects of this study were 41 consecutive patients who underwent video-assisted lung lobectomy for lung cancer. Rehabilitation was performed both before and after surgery. Lung function testing, physical function testing (timed up and go test (TUG) and the 30-s chair-stand test (CS-30)), and QOL (EORTC QLQ-C30) were measured before and 1 week after surgery. Results: Postoperative VC recovered to 76.3% +/- 15.6% 1 week after surgery. TUG, CS-30, and QOL were significantly worse after surgery (p < 0.05). Lung function and physical function were found to affect QOL. Postoperative complications included pneumonia in 1 patient. There were no patients who discontinued rehabilitation. Conclusion: Our rehabilitation program was safe and useful for patients after VATS. No potential conflict of interest relevant to this article was reported.

MDPI Acta Medica Okayama 2227-9032 9 2 2021 Investigation of Factors Affecting Early Quality of Life of Patients after Breast Cancer Surgery 213 EN Yoshiteru Akezaki Division of Physical Therapy, Kochi Professional University of Rehabilitation Eiji Nakata Department of Orthopaedic Surgery, Okayama University Hospital Masato Kikuuchi Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Ritsuko Tominaga Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Hideaki Kurokawa Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Masaki Okamoto Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Makiko Hamada Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Kenjiro Aogi Department of Breast Oncology, National Hospital Organization Shikoku Cancer Center Shozo Ohsumi Department of Breast Oncology, National Hospital Organization Shikoku Cancer Center Shinsuke Sugihara Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center Objective: The purpose of this study was to investigate factors related to early quality of life (QOL) three months after surgery in breast cancer patients with axillary lymph node dissection. Methods: The subjects of this study were 195 consecutive patients who underwent axillary lymph node dissection for breast cancer. Age, body mass index, level of lymph node dissection, marriage, children, co-resident household members, neoadjuvant chemotherapy, postoperative chemotherapy, postoperative hormonal therapy, postoperative radiotherapy, upper limb function (disabilities of the arm, shoulder, and hand (DASH)), and QOL (European Organization for the Treatment and Research of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)) were evaluated. For each item of the EORTC QLQ-C30, compared with preoperative status and three months after surgery, those who improved or remained unchanged in the three months after surgery were classified as the maintenance and improved groups, and those with worsening status were classified as the worsened group. Results: Age, level of lymph node dissection, DASH, neoadjuvant chemotherapy, postoperative chemotherapy, and postoperative radiotherapy were significantly associated with QOL (p < 0.05). Conclusions: The early QOL of postoperative patients with breast cancer is affected by multiple factors, such as upper limb function and postoperative chemotherapy, and thus comprehensive intervention is required. No potential conflict of interest relevant to this article was reported.