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The physiologic evaluation of the lung resection candidate
1Department of Medicine, University of South Carolina School of Medicine, Columbia.
Clinics in Chest Medicine
|June 1, 1993
Summary
Assessing physiologic risk in lung cancer patients is crucial. Pulmonary function tests guide decisions on surgical resection, ensuring patient involvement in high-risk cases.
Area of Science:
- Pulmonary Medicine
- Oncology
- Surgical Risk Assessment
Background:
- Lung cancer patients require thorough risk evaluation before treatment.
- Physiologic assessment is a key component of pre-operative evaluation.
Purpose of the Study:
- To outline a stepwise approach for assessing physiologic risk in lung cancer patients.
- To emphasize the role of pulmonary function tests in surgical decision-making.
Main Methods:
- Initial assessment using spirometry and diffusing capacity.
- Further evaluation with quantitative lung scanning and noninvasive exercise testing for abnormal results.
Main Results:
- Abnormal pulmonary function test results indicate the need for advanced risk assessment.
- Extremely high-risk patients may not be candidates for surgical resection.
Conclusions:
- A comprehensive physiologic risk assessment is essential for lung cancer management.
- Shared decision-making is vital for patients deemed high-risk for resection.