1998
DOI: 10.1183/09031936.98.11010198
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Abstract: Advances in operative technique and perioperative care have considerably reduced surgical morbidity and mortality after pulmonary resections. Various single and combined parameters of functional operability have been proposed to assess the surgical risk. Pulmonary function tests adequately assess the pulmonary risk, and baseline or stress electrocardiography, echocardiography and nuclear cardiac studies assess the cardiac risk.Patients with normal or only slightly impaired pulmonary function (forced expiratory… Show more

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Cited by 159 publications
(124 citation statements)
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References 145 publications
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“…Conversely, anatomical estimates are less accurate at predicting postoperative lung function than functional estimates based on radionuclide studies, e.g. ventilation/perfusion scans [24], particularly in patients of borderline operability, as they generally overestimate the functional loss. Using a functional estimate of the amount of remaining lung tissue in further studies might even improve the prediction model.…”
Section: Discussionmentioning
confidence: 95%
See 1 more Smart Citation
“…Conversely, anatomical estimates are less accurate at predicting postoperative lung function than functional estimates based on radionuclide studies, e.g. ventilation/perfusion scans [24], particularly in patients of borderline operability, as they generally overestimate the functional loss. Using a functional estimate of the amount of remaining lung tissue in further studies might even improve the prediction model.…”
Section: Discussionmentioning
confidence: 95%
“…A limitation of the present study is the lack of measurement of the diffusing capacity of the lung for carbon monoxide (DL,CO), which has recently gained in importance [27] and also been integrated into an algorithm for functional evaluation by BOLLIGER and coworkers [24,28]. At the time the study was planned, the importance of measuring DL,CO in such patients had not been firmly established and, therefore, this lung function parameter was not used in the present patients.…”
Section: Discussionmentioning
confidence: 97%
“…(17) In contrast, other authors (18) have arrived at the conclusion that, for malignant diseases in elderly patients, pulmonary resection is beneficial. Still other authors, (19) have stated that elderly patients presenting good general health status do not display an increased number of POCs and should therefore not be excluded from surgery exclusively on the grounds of age.…”
Section: Discussionmentioning
confidence: 84%
“…According to some authors, (17) the mortality rate among patients undergoing pneumonectomy is typically twice as high as that among those undergoing lobectomy.…”
Section: Discussionmentioning
confidence: 99%
“…Any thoracotomy results in a decline in vital capacity of approximately 25%, independent of lung resection, which returns to normal after 6 to 8 weeks. 6,7 The major effects result from changes in chest wall compliance and an increase in the work of breathing due to the surgical wound and postoperative pain. 8 It was somewhat surprising that there was no significant change in emotional functioning and financial difficulties.…”
Section: Discussionmentioning
confidence: 99%