Pulmonary lobectomy and the potential occurrence of postoperative dysautonomia

Abstract

Despite advances, pulmonary lobectomy can lead to postoperative dysautonomia, a dysfunction
of the autonomic nervous system. This occurs due to possible vagus nerve injury during surgery,
causing chronic cough or gastrointestinal issues. Additionally, surgical stress alters autonomic
activity, manifesting as hemodynamic instability and orthostatic intolerance, which may include
Postural Orthostatic Tachycardia Syndrome (POTS). Further symptoms include fatigue and cognitive
problems. Although not common, early recognition of these signs is vital for proper patient
management and to improve their quality of life.