Abstract

Preoperative risk stratification for lung surgery needs determination of FEV1 and TLCO. Calculation of relative values and predictive postoperative values depending on the extent of resection is preferable in comparison to absolute values. National and international guidelines have different recommendations for the way of preoperative functional assessment. Cardiopulmonary exercise testing is recommended if preoperative FEV1 and TLCO are < 80 % predicted or if ppo values are < 40% pred. Inoperability is assumed if ppo values of VO_2max are < 10 ml/kg/min or < 35% pred. Open questions concern the individual risk of patients with a limited functional operability and the management of patients who are willing to accept a higher risk of mortality if curative surgery is possible.

Author Details

Authors

• M. Westhoff

Departments

• Klinik für Pneumologie I, Lungenklinik Hemer

Address

Dr. med. M. Westhoff; Klinik für Pneumologie I, Lungenklinik Hemer, Theo-Funccius-Straße 1, D-58675 Hemer
Email: [email protected]

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