Cardiopulmonary Exercise Testing (CPET) as Preoperative Test Before Lung Resection

被引:1
作者
Kallianos, Anastasios [1 ]
Rapti, Aggeliki [1 ]
Tsimpoukis, Sotirios [2 ]
Charpidou, Andriani [2 ]
Dannos, Ioannis [2 ]
Kainis, Elias [2 ]
Syrigos, Konstantinos [2 ]
机构
[1] Sotiria Gen Hosp, Athens Med Sch, Pulm Clin 2, Athens, Greece
[2] Sotiria Gen Hosp, Athens Med Sch, Oncol Unit GPP, Athens, Greece
来源
IN VIVO | 2014年 / 28卷 / 06期
关键词
Lung resection; non-small cell lung cancer; comorbidities; oxygen consumption; forced expiratory volume; cardiopulmonary exercise testing; review; POSTOPERATIVE PULMONARY-FUNCTION; HIGH-RISK; PHYSIOLOGICAL EVALUATION; OXYGEN-CONSUMPTION; OPERATIVE RISK; SHUTTLE WALK; COMPLICATIONS; CANCER; CAPACITY; PREDICTOR;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Lung resection is still the only potentially curative therapy for patients with localized non-small lung cancer (NSCLC). However, the presence of cardiovascular comorbidities and underlying lung disease increases the risk of postoperative complications. Various studies have evaluated the use of different preoperative tests in order to identify patients with an increased risk for postoperative complications, associated with prolonged hospital stay and increased morbidity and mortality. In this topic review, we discuss the role of cardiopulmonary exercise testing (CPET) as one of the preoperative tests suggested for lung cancer patients scheduled for lung resection. We describe different types of exercise testing techniques and present algorithms of preoperative evaluation in lung cancer patients. Overall, patients with maximal oxygen consumption (VO2max) <10 mL/kg/min or those with VO2max <15 mL/kg/min and both postoperative FEV1 and DLCO<40% predicted, are at high risk for perioperative death and postoperative cardiopulmonary complications, and thus should be offered an alternative medical treatment option.
引用
收藏
页码:1013 / 1020
页数:8
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