Thorac Cardiovasc Surg 1983; 31(6): 334-337
DOI: 10.1055/s-2007-1022013
© Georg Thieme Verlag Stuttgart · New York

Criteria of Functional Operability in Patients with Bronchial Carcinoma : Preoperative Assessment of Risk and Prediction of Postoperative Function*

R. Loddenkemper, A. Gabler, D. Göbel
  • Heckeshorn Department of Pulmonary Diseases, Zehlendorf Municipal Hospital, Berlin, FRG
*Dedicated to Prof. Dr. H.-J. Brandt on the occasion of his 65th birthday
Further Information

Publication History

Publication Date:
19 March 2008 (online)

Summary

In this prospective study of 433 patients undergoing surgeryfor bronchial carcinoma 3 main factors influencing the operative risk were identified: (1) extent of resection, (2) pulmonary function and (3) age. The 30-day mortality rate was 8.3% in the whole group which comprised a high percentage of patients over 70 years of age (27%) and with a disturbed pulmonary function (45%).

The value of various functional criteria proposed in the extensive literature is assessed and compared with the results of the study in which the use of FEV1 [1] and quantitative regional analysis by perfusion scanning and 'regions of interest' proved to be highly efficient, allowing, in addition, the prediction of postoperative lung function even in sleeve resections.

A new formula for estimation of the additional loss of function in the early postoperative phase after lobectomies is proposed along with a flow sheet for routine preoperative evaluation of pulmonary function.

1 List of abbreviations:

1 FEV1 = forced-expiratory 1-second volume

1 RV%/TLC = residual volume in percent of total lung capacity

1 Raw = airway resitance

1 FEV1%/VC = FEV1 in percent of vital capacity

1 PCO2 - exerc. = PCO2 during exercise

1 PAP - exerc. = mean pulmonary artery pressure during exercise

1 List of abbreviations:

1 FEV1 = forced-expiratory 1-second volume

1 RV%/TLC = residual volume in percent of total lung capacity

1 Raw = airway resitance

1 FEV1%/VC = FEV1 in percent of vital capacity

1 PCO2 - exerc. = PCO2 during exercise

1 PAP - exerc. = mean pulmonary artery pressure during exercise