Application of Multimodal Respiratory Training Combined With Resistance Exercise in Promoting Postoperative Recovery After Thoracoscopic Lung Cancer Resection

Objective This study aimed to assess the effect of multimodal respiratory training combined with resistance exercise on postoperative recovery in patients undergoing thoracoscopic lung cancer resection. Methods Seventy‐two patients were enrolled and randomly allocated into two groups ( n = 36 each). Routine postoperative care was implemented in the control group, whereas patients in the intervention group additionally received multimodal respiratory training integrated with resistance exercise. Recovery indices, respiratory function parameters (forced vital capacity [FVC], forced expiratory volume in 1 s [FEV 1 ], peak expiratory flow [PEF], and maximal voluntary ventilation [MVV]), exercise tolerance (6‐minute walk distance [6MWD] and Borg dyspnea score), arterial blood gas values (PaO 2 , PaCO 2 ), quality of life (SF‐36), and postoperative complications were evaluated. Results The intervention group presented shorter time to ambulation, earlier first flatus, and reduced chest drainage duration relative to the control group. Postoperatively, compared with the control group, the intervention group exhibited a smaller reduction in MVV, a smaller increase in Borg scores, and a smaller decline in PaO 2 . Although FVC, FEV 1 , PEF, 6MWD, and PaCO 2 levels improved over time in both groups, and PaCO 2 levels were lower in the intervention group than in the control group, no significant time × group interaction effects were observed for these outcomes. Although the incidence of complications was lower in the intervention group than in the control group (5.56% vs. 11.11%), the difference exhibited no differences. Conclusion Multimodal respiratory training combined with resistance exercise effectively facilitates postoperative recovery, improves pulmonary function and exercise capacity, and enhances quality of life in patients after thoracoscopic lung cancer resection.