[Aspects of lung function evaluation before and after lung resections (author's transl)].
The preoperative cardiopulmonary function study should permit the chest surgeon to evaluate the risk of a planned resection. There are different opinions in the literature regarding the necessity and the number of lung function test. To evaluate the possible success of a lung operation one must take into account the loss of functional capacity due to the operation. The available tests of cardiopulmonary function are of different value for the evaluation of resectability. Traditional functional limits have to be examined carefully. There are test schemes and formulas to reduce the likelihood of postoperative cardiopulmonary failure through a most accurate preoperative lung function study. Our results of pre- and postoperative lung function tests confirme the well known experience that not limit values and formulas nor the clinical impression alone can give a true picture of resectability. Only by critically summarizing clinical findings, lung function tests and personality of the patient as well as his cooperability it is possible to have a low postoperative lethality while still giving the poor risk patients a reasonable chance.
D006323:Heart Arrest / Q000209:etiology; D006334:Heart Function Tests; D006801:Humans; D011013:Pneumonectomy / Q000009:adverse effects; D012129:Respiratory Function Tests; D012306:Risk
Aspekte der prä- und postoperativen Leistungsbeurteilung bei Lungenoperationen.