{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679338358656.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2995/jacsurg.26.157"}},{"identifier":{"@type":"NAID","@value":"10030125584"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2012193854"}}],"dc:title":[{"@language":"en","@value":"A case of successful lobectomy in lung cancer with severe COPD"},{"@language":"ja","@value":"術前1秒量0.81Lであった重症COPD合併肺癌の1切除例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We describe a case of lung cancer with severe chronic obstructive pulmonary disease (COPD) involving a 70-year-old man who had an adenocarcinoma of the left upper lung, and the forced expiratory volume in 1 second (FEV1) was 770 ml. The degree of his dyspnea was II based on the Hugh-Jones classification. Three weeks after the combination of pulmonary rehabilitation and Tiotropium, FEV1 improved to 810 ml. However, the predicted postoperative FEV1/predicted FEV1 was 33%. He underwent left upper lobectomy, resulting in a reduced lung volume, severe emphysema, and low blood perfusion. After the lobectomy, FEV1 was the same as the preoperative level.<BR>Resection is possible for lung cancer patients who would be considered to have physiologically inoperable disease in combination with lung volume reduction. Forty-six months after the operation, the patient is alive and shows a favorable condition."},{"@language":"ja","@value":"70歳男性．Chronic obstructive pulmonary disease（以下COPD）を合併した低肺機能の肺癌に対し肺葉切除術を施行した．Hugh-Jones分類 II 度で1秒量0.77 Lの重症COPDに合併した肺腺癌（C-T2N0M0）に対して，まず術前呼吸リハビリテーションおよびTiotropiumbromideの吸入を行い，3週間後に1秒量が0.81 Lに改善した．術後予測1秒量は予測値の33％であったが，無効肺容量の減少効果を期待して，左上葉切除術を施行した．術後3ヵ月の1秒量は0.77 Lであり極端な低下を認めず，術後3年10ヵ月の現在，呼吸機能は安定している．一般には肺葉切除の非適応と判断された重症COPD合併肺癌に対して，呼吸リハビリの併用と手術によって無効肺容量を減少させることによって肺機能を維持することができた1例を経験した．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222252919427","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Makino Takashi"},{"@language":"ja","@value":"牧野 崇"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Chest Surgery, Toho University Omori Medical Center"},{"@language":"ja","@value":"東邦大学医療センター大森病院　呼吸器外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222252919424","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Sasamoto Shuichi"},{"@language":"ja","@value":"笹本 修一"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東邦大学医療センター大森病院　呼吸器外科"},{"@language":"en","@value":"Department of Chest Surgery, Toho University Omori Medical Center"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222252919426","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Hata Yoshinobu"},{"@language":"ja","@value":"秦 美暢"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Chest Surgery, Toho University Omori Medical Center"},{"@language":"ja","@value":"東邦大学医療センター大森病院　呼吸器外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222252919425","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Takagi Keigo"},{"@language":"ja","@value":"高木 啓吾"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Chest Surgery, Toho University Omori Medical Center"},{"@language":"ja","@value":"東邦大学医療センター大森病院　呼吸器外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09190945"},{"@type":"LISSN","@value":"09190945"},{"@type":"EISSN","@value":"18814158"},{"@type":"NCID","@value":"AN10467885"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of the Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日本呼吸器外科学会雑誌"},{"@language":"en","@value":"Jpn J Chest Surg"},{"@language":"en","@value":"The Journal of the Japanese Associtation for Chest Surgery"},{"@language":"en","@value":"The Journal of the Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日呼外会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日本呼吸器外科学会"}],"prism:publicationDate":"2012","prism:volume":"26","prism:number":"2","prism:startingPage":"157","prism:endingPage":"161"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2012193854"}],"availableAt":"2012","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=lung%20cancer","dc:title":"lung cancer"},{"@id":"https://cir.nii.ac.jp/all?q=COPD","dc:title":"COPD"},{"@id":"https://cir.nii.ac.jp/all?q=lobectomy","dc:title":"lobectomy"},{"@id":"https://cir.nii.ac.jp/all?q=lung%20volume%20reduction%20surgery","dc:title":"lung volume reduction surgery"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E7%99%8C","dc:title":"肺癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%85%A2%E6%80%A7%E9%96%89%E5%A1%9E%E6%80%A7%E8%82%BA%E7%96%BE%E6%82%A3","dc:title":"慢性閉塞性肺疾患"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E8%91%89%E5%88%87%E9%99%A4","dc:title":"肺葉切除"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E5%AE%B9%E9%87%8F%E6%B8%9B%E5%B0%91%E8%A1%93","dc:title":"肺容量減少術"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144324160640","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292618693931776","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Physiologic Evaluation of Patients With Lung Cancer Being Considered for Resectional 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emphysema"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204682199040","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Assessment of Predicted Postoperative Pulmonary Function After Pulmonary Resection for Lung Cancer Pathologically Associated With Emphysema-Effects of Lung Volume Reduction Surgery (LVRS)-"},{"@language":"ja","@value":"病理学的に肺気腫を合併していた肺癌切除例における術後予測肺機能の検討―肺容量減少術（ＬＶＲＳ）効果について―"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009750882063616","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009750882064768","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe 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resection"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135650788907904","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Lung cancer resection combined with lung volume reduction in patients with severe emphysema"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417125765618304","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Patients at high risk of death after lung-volume-reduction surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1571698600742329984","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Clinical value of quantitative ventilation-perfusion lung scans in the surgical management of bronchogenic carcinoma"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1000003840"},{"@type":"CROSSREF","@value":"10.2995/jacsurg.26.157"},{"@type":"CIA","@value":"10030125584"}]}