Preoperative assessment in pulmonary resection surgery.

Area of Science:

• Cardiology
• Pulmonology
• Thoracic Surgery

Background:

• Pulmonary resection carries significant risks of morbidity and mortality.
• Patient-specific factors and the extent of resection influence these risks.
• Preoperative assessment aims to estimate operative risk and post-operative quality of life.

Purpose of the Study:

• To outline the importance of preoperative assessment in pulmonary resection.
• To emphasize the need for rationalizing diagnostic tools and practices.
• To guide the selection of appropriate therapies for high-risk patients.

Main Methods:

• Utilizing various technological tools for patient evaluation, from electrocardiograms and spirometry to cardiorespiratory effort tests.
• Adhering to international recommendations for good practice in preoperative assessment.
• Considering patient specificity and country context in examination prioritization.

Main Results:

• Preoperative assessment helps identify patients at high operative risk.
• It aids in estimating immediate operative risk and physiological status.
• The assessment informs decisions on conservative therapies and post-operative quality of life.

Conclusions:

• Rationalizing preoperative evaluations is essential for optimizing patient care.
• Prioritizing diagnostic examinations based on availability and accessibility is key.
• This approach ensures appropriate therapeutic choices for individuals undergoing pulmonary resection.