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

Sawabata, Noriyoshi; Nagayasu, Takashi; Kadota, Yoshihisa; Goto, Taichiro; Horio, H; Mori, Takeshi; Yamashita, Shinichi; Iwasaki, Atsushi

doi:10.1007/s11748-014-0475-x

Cited by 46 publications

(30 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most important risk in the perioperative period is the occurrence of complications. Predictors of complications include the extent of pulmonary resection, lung function, and exercise tolerance (1,2). All patients enrolled in the study underwent anatomical pulmonary resection, had normal left ventricular contraction function (i.e., normal surgical risk) and were able to walk up six floors (22.2 m) in the stair climbing test.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Cardiac Expansion on Postsurgical Pulmonary Resection Recovery

Tamura

Sawabata

Susaki

et al. 2019

In Vivo

Self Cite

View full text Add to dashboard Cite

Background/Aim: In patients undergoing lung resection, even when lung and ventricular function are normal, there may be a prolonged delay in postoperative recovery. The effect of left ventricular extension disorders on recovery after pulmonary resection was investigated. Materials and Methods: The postoperative recovery of ninety patients with normal left ventricular ejection fraction and exercise tolerance who underwent anatomical pulmonary resection was evaluated according to the grade of left ventricular expansion (E/e'). Results: Left ventricular extension was normal (≤8) in 53 cases, moderately restricted (8-12) in 36 cases and severely restricted (>12) in 9 cases. No significant difference was found in the postoperative complication rate. However, the severely restricted group had a significantly higher duration of oxygen administration, intensive care unit stay, and postoperative hospital stay, which were found to be independent predictors of ventricular expansion. Conclusion: Left ventricular expansion dysfunction had a negative effect on postoperative recovery.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Since lung and left ventricular contraction function limit exercise tolerance, they constitute an important factor when assessing the surgical risk of pulmonary resection (1,2). However, even in cases of optimal exercise load, perioperative complications may occur and there may be a prolonged delay in postoperative recovery (3).…”

mentioning

confidence: 99%

Effect of Cardiac Expansion on Postsurgical Pulmonary Resection Recovery

Tamura

Sawabata

Susaki

et al. 2019

In Vivo

Self Cite

View full text Add to dashboard Cite

show abstract

“…To assess the risk derived from pulmonary resection, a pulmonary function study should be performed. This study should calculate the maximum expiratory volume in the first second of forced expiration (FEV1) and the diffusion capacity of the lung for carbon monoxide (DLCO) planned in the post-operative period (ppoFEV1 and ppoDLCO) [51][52][53]. When both indexes are greater than 60% of their theoretical values, the patient presents low risk and does not require further studies [51].…”

Section: Pre-treatment Functional Assessmentmentioning

confidence: 99%

Multidisciplinary consensus statement on the clinical management of patients with stage III non-small cell lung cancer

et al. 2019

View full text Add to dashboard Cite

Stage III non-small cell lung cancer (NSCLC) is a very heterogeneous disease that encompasses patients with resected, potentially resectable and unresectable tumours. To improve the prognostic capacity of the TNM classification, it has been agreed to divide stage III into sub-stages IIIA, IIIB and IIIC that have very different 5-year survival rates (36, 26 and 13%, respectively). Currently, it is considered that both staging and optimal treatment of stage III NSCLC requires the joint work of a multidisciplinary team of expert physicians within the tumour committee. To improve the care of patients with stage III NSCLC, different scientific societies involved in the diagnosis and treatment of this disease have agreed to issue a series of recommendations that can contribute to homogenise the management of this disease, and ultimately to improve patient care.

show abstract

“…The predicted postoperative (ppo) FEV1 is calculated using a method based on lung segment-counting and pulmonary perfusion scintigraphy (PPS) and has shown good correlation with values measured postoperatively (4,5). Furthermore, ppo%FEV1 and ppo%DLco have shown a strong correlation with long-term postoperative prognosis (6) and have been used in risk assessment algorithms created using exercise stress tests as an index (7). Recent reports have shown that angiography, ultrasonography, quantitative computed tomography, or dynamic magnetic resonance imaging improve predictive accuracy (8,9).…”

Section: Introductionmentioning

confidence: 99%

Dynamic Perfusion Digital Radiography for Predicting Pulmonary Function After Lung Cancer Resection

Hanaoka

Yoden

Hayashi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Accurate prediction of postoperative pulmonary function is important for ensuring the safety of patients undergoing radical resection for lung cancer. Dynamic perfusion digital radiography is an excellent and easy imaging method for detecting blood flow in the lung compared with the less convenient conventional lung perfusion scintigraphy. As such, the present study aimed to confirm whether dynamic perfusion digital radiography can be evaluated in comparison with pulmonary perfusion scintigraphy in predicting early postoperative pulmonary function.Methods: Dynamic perfusion digital radiography and spirometry were performed before and 1 and 3 months after radical resection for lung cancer. Correlation coefficients between blood flow ratios calculated using dynamic perfusion digital radiography and pulmonary perfusion scintigraphy were then confirmed in the same cases. In all patients who underwent dynamic perfusion digital radiography, the correlation predicted values calculated from the blood flow ratio and measured values were examined. Furthermore, ppo%FEV1 or ppo%DLco values, which indicated the risk for perioperative complications, were examined.Results: A total of 52 participants who satisfied the inclusion criteria were analyzed. Blood flow ratios measured using pulmonary perfusion scintigraphy and dynamic perfusion digital radiography showed excellent correlation and acceptable predictive accuracy. Correlation coefficients between predicted FEV1 values obtained from dynamic perfusion digital radiography or pulmonary perfusion scintigraphy and actual measured values were similar. All patients who underwent dynamic perfusion digital radiography showed excellent correlation between predicted values and those measured using spirometry. A significant difference in ppo%DLco was observed for respiratory complications but not cardiovascular complications.Conclusions: Our study demonstrated that dynamic perfusion digital radiography can be a suitable alternative to pulmonary perfusion scintigraphy given its ability for predicting postoperative values and the risk for postoperative respiratory complications. Furthermore, it seemed to be an excellent modality because of its advantages, such as simplicity, low cost, and ease in obtaining in-depth respiratory functional information.Trial registration: Registered at UMIN, on 25 October 2017, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_his_list.cgi?recptno=R000033957Registration number: UMIN000029716

show abstract

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

Abstract: 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.

Cited by 46 publications

References 57 publications

Effect of Cardiac Expansion on Postsurgical Pulmonary Resection Recovery

Effect of Cardiac Expansion on Postsurgical Pulmonary Resection Recovery

Multidisciplinary consensus statement on the clinical management of patients with stage III non-small cell lung cancer

Dynamic Perfusion Digital Radiography for Predicting Pulmonary Function After Lung Cancer Resection

Contact Info

Product

Resources

About