Predicted versus observed FEV1 in the immediate postoperative period after pulmonary lobectomy

Varela, Gonzálo; Brunelli, Alessandro; Rocco, Gaetano; Marasco, Rita; Jiménez, Marcelo F.; Sciarra, Valeria; Aranda, José Luis; Gatani, Tindaro

doi:10.1016/j.ejcts.2006.07.001

Cited by 103 publications

(54 citation statements)

References 25 publications

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“…Similar to previous reports, in our study, no relationship between development of postoperative complication and patient-related risk factors (age and smoking) was observed. It has been reported in previous studies that presence of COPD as a concomitant pulmonary disease have an important protective role in the development of post-operative pulmonary complications in lung resection surgery (7)(8)(9). In this study, we also did not observe any relationship between post-operative complications and presence of COPD as a concomitant disease in lung cancer patients.…”

Section: Discussionsupporting

confidence: 59%

See 1 more Smart Citation

Can exercise capacity assessed by the shuttle walk test predict the development of post-operative complications in patients with lung cancer?

Erdoğan

Günay²,

Ergün³

et al. 2013

Tuberk Toraks

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ÖZETAkciğer kanserli hastalarda mekik yürüme testi ile değerlendirilen egzersiz kapasitesi postoperatif komplikasyon gelişimini öngörebilir mi? Giriş: Çalışmamızın amacı, akciğer kanseri rezeksiyon cerrahisinde postoperatif komplikasyon gelişiminde mekik yürüme testinin rolünü araştırmaktır. Hastalar ve Metod: Erken evre akciğer kanseri tanısı ile akciğer rezeksiyon cerrahisi için aday olan hastalar bu çalışmaya dahil edildi. Çalışmaya katılan tüm hastalara egzersiz kapasitesinin değerlendirilmesi için mekik yürüme testi uygulandı.Bulgular: Çalışmaya 24 hasta dahil edildi. Yaş ortalaması 46 ± 8.6 yıl idi. Pnömonektomi, lobektomi, bilobektomi ve wedge rezeksiyon sırasıyla 11 (%46), 10 (%42), 2 (%8) INTRODUCTIONThough surgery remains the treatment of choice for resectable lung carcinoma, postoperative complications of lung resection appear to be a major problem especially in patients with co-existing disease (1). Incidence of postoperative complications after lung resection was reported as 24-48% while the mortality rates of lobectomy and pneumonectomy were 4% and 14%, respectively (1,2). The most common complications and the main determinant of mortality and morbidity after lung resection are cardiopulmonary complications (2,3). Preoperative exercise capacity is an independent predictor of peri-operative risks in lung resection surgery so in order to assist the prediction of surgical outcome, a number of exercise tests have been used (1-3).In this study we investigated the relationship between exercise capacity assessed by shuttle walk test (SWT) and development of post-operative complication in patients who were candidate for lung cancer surgery. PATIENTS and METHODS This study was performed in

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Section: Discussionsupporting

confidence: 59%

“…While segmental or "wedge" resections are carrying a low risk for developing post-operative complications, pneumonectomy has been reported to have the highest risk (3,(8)(9)(10). In our study, no relationship was determined between types of resection and the development of post-operative complications.…”

Section: Discussioncontrasting

confidence: 44%

Can exercise capacity assessed by the shuttle walk test predict the development of post-operative complications in patients with lung cancer?

Erdoğan

Günay²,

Ergün³

et al. 2013

Tuberk Toraks

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“…A value of ppoFEV 1 <40% is currently used to distinguish between normal risk and higher risk lung resection patients (62). However, ppoFEV 1 clearly overestimates the actual FEV 1 observed during the first postoperative period, when most of the complications are observed (63). Assessment of DLCO and VO 2 max may be required to further improve preoperative assessment (62).…”

Section: Assessment Of Elderly Patients Before Surgerymentioning

confidence: 99%

Lung cancer in elderly patients

et al. 2016

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“…Despite this shortcoming, both post-operative % pred FEV1 and TL,CO appeared to be good predictors for the direct post-operative morbidity and mortality [50,51]. In addition, the postoperative % pred FEV1 correlated well with the post-operative FEV1 6 months after surgery in patients who underwent a lobectomy.…”

Section: Spirometry and Diffusing Capacitymentioning

confidence: 88%

Pre-operative pulmonary evaluation of lung cancer patients: a review of the literature

Tilburg

Stam²,

Hoogsteden³

et al. 2009

European Respiratory Journal

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Complete anatomical resection of the primary tumour is still the standard of care in patients with early stage lung cancer. Because these patients are usually smokers who also suffer from chronic obstructive pulmonary disease, regional differences in pulmonary function due to lung tissue destruction exist.The purpose of the present article is to evaluate the currently available guidelines and to discuss novel methods for the pre-operative functional and anatomical pulmonary evaluation in lung cancer patients.Despite the fact that knowledge on the pre-operative evaluation of the pulmonary function has substantially increased during the past decade, the majority of the studies are small, underpowered and, with exception of a proposed algorithm, not prospectively validated in independent cohorts.The future harmonisation of guidelines is required and novel imaging techniques should be incorporated in the pre-operative evaluation in chronic obstructive pulmonary disease patients with borderline pulmonary function.

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Predicted versus observed FEV1 in the immediate postoperative period after pulmonary lobectomy

Abstract: Current methods of prediction of postoperative FEV1 greatly underestimated the real functional loss in the immediate postoperative period. Therefore, for the purpose of a more accurate risk stratification we need to correct the traditional prediction of postoperative FEV1.

Cited by 103 publications

References 25 publications

Can exercise capacity assessed by the shuttle walk test predict the development of post-operative complications in patients with lung cancer?

Can exercise capacity assessed by the shuttle walk test predict the development of post-operative complications in patients with lung cancer?

Lung cancer in elderly patients

Pre-operative pulmonary evaluation of lung cancer patients: a review of the literature

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