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

被引：42

作者：

Sawabata N. ^{[1
]}

Nagayasu T. ^{[2
]}

Kadota Y. ^{[3
]}

Goto T. ^{[4
]}

Horio H. ^{[5
]}

Mori T. ^{[6
]}

Yamashita S. ^{[7
]}

Iwasaki A. ^{[7
]}

机构：

[1] Department of General Thoracic Surgery, Hoshigaoka Medical Center, Hirakata

[2] Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki

[3] Department of Thoracic Surgery, Osaka Prefectural Medical Center for Respiratory and Allergic Disease, Habikino

[4] Department of Surgery, Yamanashi Prefectural Central Hospital, Yamanashi

[5] Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo

[6] Department of Thoracic surgery, Kumamoto University School of Medicine, Kumamoto

[7] Department of Thoracic, Endocrine and Pediatric Surgery, Fukuoka University, Fukuoka

来源：

General Thoracic and Cardiovascular Surgery | 2015年 / 63卷 / 1期

关键词：

Cardiopulmonary function; Lung cancer; Pulmonary resection; Risk assessment;

D O I：

10.1007/s11748-014-0475-x

中图分类号：

学科分类号：

摘要：

Background: This manuscript provides preoperative physiologic assessments for patients considered for surgical resection of lung cancer. Methods: Medical studies of risk assessment of surgical resection for lung cancer according to pulmonary function were collected and a review article was written to present guidelines. Results: Preoperative physiologic assessment should begin with a cardiovascular evaluation, and spirometry to measure FEV 1 and the diffusing capacity of carbon monoxide (DLCo). Predicted postoperative (ppo) lung functions should also be calculated. If both %ppo-FEV 1 and %ppo-DLCo values are ≥60 %, the patient is considered to be at low risk for anatomic lung resection. If either of those are <60 % of the predicted value, an exercise test should be performed for screening. If performance on the exercise test is acceptable, the patient is regarded to be at low risk for anatomic resection. These findings can be summarized as an algorithm. Conclusions: 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. © 2014, The Japanese Association for Thoracic Surgery.

引用

页码：14 / 21

页数：7

共 63 条

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