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Pulmonary function test criteria for operability and pulmonary resection

J I Miller, G D Grossman, C R Hatcher

Surgery, Gynecology & Obstetrics

|December 1, 1981

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New pulmonary function criteria help determine safe lung resection extent. Applying these criteria to 500 patients resulted in low operative mortality for segmental resection (0.2%) and lobectomy (0%), improving patient outcomes.

Area of Science:

Thoracic Surgery
Pulmonary Medicine
Surgical Oncology

Background:

Pulmonary resection is a critical treatment for lung diseases.
Established criteria for pneumonectomy exist, but not for other resection types.
Lack of specific criteria hinders accurate assessment of patient tolerance and surgical risk.

Purpose of the Study:

To introduce and evaluate novel pulmonary function criteria for pulmonary resections.
To determine the extent of lung resection patients can tolerate with minimal mortality.
To assess the impact of these criteria on operative mortality across different resection types.

Main Methods:

A series of 500 consecutive pulmonary resections were analyzed.
Specific pulmonary function criteria were applied to determine the feasibility and extent of resection.

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Operative mortality rates were calculated for segmental resection, lobectomy, and pneumonectomy.

Main Results:

The application of defined criteria enabled accurate assessment of resection tolerance.
Operative mortality for segmental resection was 0.2%.
Operative mortality for lobectomy was 0%, and for pneumonectomy was 4.4%.

Conclusions:

The developed pulmonary function criteria are effective in guiding pulmonary resection decisions.
These criteria allow for precise determination of resection extent, minimizing patient risk.
The study demonstrates significantly low operative mortality rates with the application of these criteria.