title: [Operative risk in thoracic surgery].
abstract: Operative risk is encountered daily in thoracic surgery. Preoperatively, the risk can be evaluated by the pneumologist as well as the intensive care-surgery team. The parenchymal function and the patients respiratory capacity during the post-operative period should be evaluated. It is fundamental to evaluate heart function and vascular capacity. We discuss operative risk of dissection. The risk of bronchial fistulization is estimated at 5% (pneumonectomy) and 1% (lobectomy). Immediate complications include air leaks, rhythm disorders and post-operative bleeding. Thoracic drainage is a determining factor in thoracic surgery. The main problem remains post-operative respiratory failure especially since carcinological exeresis is usually carried out in patients with bronchopathies.
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Val de Grâce, Paris.
authors.forename: R
authors.initials: R
authors.lastname: Jancovici
authors.forename: R
authors.initials: R
authors.lastname: Houel
authors.forename: F
authors.initials: F
authors.lastname: Natali
mesh_terms: D006801:Humans; D007431:Intraoperative Complications; D011183:Postoperative Complications; D012131:Respiratory Insufficiency / Q000209:etiology*; D012307:Risk Factors; D013903:Thoracic Surgery; D018754:Ventricular Dysfunction / Q000209:etiology*
vernacular_title: Le risque opératoire en chirurgie thoracique.