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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 1/2015

01-01-2015 | Current Topics Review Article

Risk assessment of lung resection for lung cancer according to pulmonary function: republication of systematic review and proposals by guideline committee of the Japanese Association for Chest Surgery 2014

Authors: Noriyoshi Sawabata, Takashi Nagayasu, Yoshihisa Kadota, Taichiro Goto, Hiroyoshi Horio, Takeshi Mori, Shinichi Yamashita, Akinori Iwasaki

Published in: General Thoracic and Cardiovascular Surgery | Issue 1/2015

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Abstract

Background

This manuscript provides preoperative physiologic assessments for patients considered for surgical resection of lung cancer.

Methods

Medical studies of risk assessment of surgical resection for lung cancer according to pulmonary function were collected and a review article was written to present guidelines.

Results

Preoperative physiologic assessment should begin with a cardiovascular evaluation, and spirometry to measure FEV 1 and the diffusing capacity of carbon monoxide (DLCo). Predicted postoperative (ppo) lung functions should also be calculated. If both %ppo-FEV 1 and %ppo-DLCo values are ≥60 %, the patient is considered to be at low risk for anatomic lung resection. If either of those are <60 % of the predicted value, an exercise test should be performed for screening. If performance on the exercise test is acceptable, the patient is regarded to be at low risk for anatomic resection. These findings can be summarized as an algorithm.

Conclusions

Careful preoperative physiologic assessment is useful for identifying patients at increased risk for standard lung cancer resection and enabling informed decisions by the patient about an appropriate therapeutic approach for their lung cancer.
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Metadata
Title
Risk assessment of lung resection for lung cancer according to pulmonary function: republication of systematic review and proposals by guideline committee of the Japanese Association for Chest Surgery 2014
Authors
Noriyoshi Sawabata
Takashi Nagayasu
Yoshihisa Kadota
Taichiro Goto
Hiroyoshi Horio
Takeshi Mori
Shinichi Yamashita
Akinori Iwasaki
Publication date
01-01-2015
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 1/2015
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-014-0475-x

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