[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-406562-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-406562-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","liuzijue-qigong-training-enhances-early-pulmonary-function-recovery-after-esophageal-cancer-surgery","Liuzijue Qigong training enhances early pulmonary function recovery after esophageal cancer surgery","","Esophageal cancer surgery carries a high risk of postoperative pulmonary complications, especially pneumonia. Conventional respiratory rehabilitation, including preoperative inspiratory muscle training, has shown limited efficacy. This study evaluates whether early postoperative “Liuzijue” Qigong training improves pulmonary function and reduces pneumonia incidence after radical esophagectomy. A total of 306 patients received standard care, with 14-day twice-daily Liuzijue added in the intervention group, assessing pneumonia rates and pulmonary function outcomes through postoperative day 14.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/liuzijue-qigong-training-enhances-early-pulmonary-function-recovery-after-esophageal-cancer-surgery/406562/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/liuzijue-qigong-training-enhances-early-pulmonary-function-recovery-after-esophageal-cancer-surgery/406562.png","ImageObject",300,407,{"name":42,"@type":43},"Dipper","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-04","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the main goal of using early “Liuzijue” training after radical esophagectomy?","Question",{"text":63,"@type":64},"To evaluate its effects on pulmonary function and the incidence of pneumonia after esophagectomy.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the study designed and what were the comparison groups?",{"text":68,"@type":64},"This retrospective study included 306 patients. The control group received standard care, while the intervention group received standard care plus twice-daily “Liuzijue” training for 14 days.",{"name":70,"@type":61,"acceptedAnswer":71},"What outcomes improved with “Liuzijue” training, and what did not?",{"text":72,"@type":64},"The intervention group had a significantly lower pneumonia incidence and greater improvements in key pulmonary function measures (ΔFVC, ΔFEV1, ΔMVV), while diffusing capacity, total lung capacity, and 6-minute walk distance showed no significant differences.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},406562,1790717270,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":124,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","| W | J | G | S | World Journal of\u003Cbr>Gastrointestinal Surgery |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 113408  \nDOI: 10.4240/wjgs.v17.i12.113408 ISSN 1948-9366 (online)  \nORIGINAL ARTICLE  \nRetrospective Study  \n\"Liuzijue\" Qigong training enhances early pulmonary function recovery after esophageal cancer surgery  \nYu Bai, Zhi-Long Zhang, Lei Qiao, Ling-Ling Shi, Jian Wang, Hui Nian, Qian-Cheng Du, Zhi-Hao Tian, Zi-Long Yao, Yi-Bin Wu  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nUnsolicited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade B, Grade B  \nNovelty: Grade B, Grade B  \nCreativity or Innovation: Grade B, Grade B  \nScientific Significance: Grade B, Grade B  \nP-Reviewer: Zhou Y, DM, Professor, China  \nReceived: August 25, 2025  \nRevised: September 13, 2025  \nAccepted: November 7, 2025  \nPublished online: December 27, 2025  \nProcessing time: 122 Days and 21.3 Hours  \nYu Bai, Zhi-Hao Tian, Yi-Bin Wu, Intensive Care Unit, Shanghai Xuhui Central Hospital, Shanghai 200031, China  \nZhi-Long Zhang, Jian Wang, Hui Nian, Qian-Cheng Du, Department of Thoracic Surgery, Shanghai Xuhui Central Hospital, Shanghai 200031, China  \nLei Qiao, Department of Rehabilitation Medicine, Shanghai Xuhui Central Hospital, Shanghai 200031, China  \nLing-Ling Shi, Zi-Long Yao, Department of Nursing, Shanghai Xuhui Central Hospital, Shanghai 200031, China  \nCorresponding author: Yi-Bin Wu, MD, Associate Chief Physician, Director, Intensive Care Unit, Shanghai Xuhui Central Hospital, No. 366 Longchuan North Road, Xuhui District, Shanghai 200031, [China.](China. didi_2001_328@sina.com)[ didi_2001_328@sina.com](China. didi_2001_328@sina.com)  \nAbstract  \nBACKGROUND  \nEsophageal cancer surgery is associated with a high risk of postoperative pulmonary complications, particularly pneumonia. Although conventional respiratory rehabilitation strategies – such as preoperative inspiratory muscle training – have demonstrated limited efficacy, the low-intensity traditional Chinese Qigong practice \"Liuzijue\" (Six-Character Formula) shows promise. However, robust clinical evidence supporting its use in patients undergoing esophagectomy remains lacking.  \nAIM  \nTo evaluate the effects of early postoperative \"Liuzijue\" training on pulmonary function and pneumonia incidence following radical esophagectomy.  \nMETHODS  \nThis retrospective study included 306 patients who underwent esophagectomy. The control group (n = 163) received standard care, consisting of abdominal breathing, incentive spirometry, and early ambulation. The intervention group (n = 143) received the same standard care plus twice-daily \"Liuzijue\" training for 14 days. Primary outcomes were the incidence of pneumonia (defined by Centers for Disease Control and Prevention criteria) and changes (Δ) in forced vital capa-  \n WJGS  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025  Volume 17  Issue 12   \nBai Y et al. \"Liuzijue\" Qigong enhances post-esophagectomy pulmonary recovery  \ncity (FVC), forced expiratory volume in 1 second (FEV1), and maximum voluntary ventilation (MVV) from baseline to postoperative day 14.  \nRESULTS  \nThe \"Liuzijue\" intervention was associated with a significantly lower incidence of pneumonia (11.9% vs 24.5%, P = 0.005; relative risk = 0.48). Significant improvements were observed in ΔFVC (+502.1 mL vs +326.5 mL, P \u003C 0.001),ΔFEV1 (+701.7 mL vs +434.4 mL, P \u003C 0.001), and ΔMVV (+19.4 L/minute vs +14.4 L/minute, P \u003C 0.001) . Absolute FEV1 values on postoperative day 14 were higher in the intervention group (2270.8 mL vs 2066.1 mL, P = 0.021), along with significantly lower Borg dyspnea/fatigue scores (P = 0.045) . No significant differences were observed in changes in diffusing capacity of the lung for carbon monoxide, to","cbCait1YzPpEAp3A","https://ap.wps.com/l/cbCait1YzPpEAp3A","pdf",634687,"English","# Background\n# Aim\n# Methods\n## Participants and interventions\n## Outcomes\n# Results\n# Conclusion\n# Core Tip","[{\"question\":\"What is the main goal of using early “Liuzijue” training after radical esophagectomy?\",\"answer\":\"To evaluate its effects on pulmonary function and the incidence of pneumonia after esophagectomy.\"},{\"question\":\"How was the study designed and what were the comparison groups?\",\"answer\":\"This retrospective study included 306 patients. The control group received standard care, while the intervention group received standard care plus twice-daily “Liuzijue” training for 14 days.\"},{\"question\":\"What outcomes improved with “Liuzijue” training, and what did not?\",\"answer\":\"The intervention group had a significantly lower pneumonia incidence and greater improvements in key pulmonary function measures (ΔFVC, ΔFEV1, ΔMVV), while diffusing capacity, total lung capacity, and 6-minute walk distance showed no significant differences.\"}]","Liuzijue Qigong training enhances early pulmonary function recovery after esophageal cancer surgery | PDF",1790566463,25]