[Respiratory function tests as a predictive indicator of postoperative course in patients undergoing pneumonectomy because of neoplasms].
Postoperative morbidity and mortality were correlated with the preoperative results of three widely used pulmonary function tests (FVC, FEV1, FEV1/FVC) in 100 consecutive patients who underwent pneumonectomy for lung carcinoma. Factor analyzed following operation included thirty-day mortality, incidence of cardiovascular and respiratory complications, number of individuals requiring prolonged mechanical ventilation. Nineteen patients had a forced vital capacity (FVC) of 70% or less of the normal value, seven had a one-second forced expiratory volume (FEV1) of 1.5 liters or less, and thirty-three had a FEV1 of less than 2 liters. Fourteen patients had a FEV1/FVC ratio of 65% or less. There were no differences in morbidity or mortality between these patients and those presenting higher test scores. As a general rule, decisions regarding operability and extent of resection cannot be made solely on the basis of the three spirometry tests reviewed.
Landi
A
A
Divisione di Chirurgia Generale e Toracica, Ospedale G.B. Morgagni, L. Pierantoni, U.S.L. n. 38, Forlì.
Morgagni
P
P
Folli
S
S
Dell'Amore
D
D
D000328:Adult; D000368:Aged; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications; D011379:Prognosis; D012129:Respiratory Function Tests; D014797:Vital Capacity
Le prove di funzionalità respiratoria come indice predittivo del decorso postoperatorio nei pazienti pneumonectomizzati per neoplasia.