[Risk factors, postoperative mortality and morbidity in pulmonary surgery]

In this retrospective study, the influence of preoperative risk factors on mortality and morbidity after pulmonary surgery is analysed. Sixty-five consecutive pulmonary resections are studied and compared with data from the literature. Age and lung function abnormalities are well known risk factors but a severe selection minimizes their negative effects: a good cardio-circulatory condition and the prediction of an acceptable postoperative lung function allows a mortality reduction down to 5% and minimizes the frequency of postoperative respiratory insufficiency. The importance of a good preoperative training of the patient and of the early detection and immediate treatment of any postoperative complication are stressed.