Sublobar resection: functional evaluation and pathophysiological considerations.

ABSTRACT: To date, pulmonary function tests (PFTs) are part of consolidated standard operating procedures in thoracic surgery. PFTs are usually used to assess the pre-operative risk, post-operative outcomes and complications after pulmonary resections. The only functional parameter used in common practice is the forced expiratory volume in one second (FEV₁). However, the FEV₁ alone poorly reflects lung pathophysiology, especially in patients with pre-operative emphysema and airflow obstruction; moreover, the predictive power of spirometric parameters in guiding the surgical approach in terms of the extension of the excision is currently unknown. In the present critical overview, we report and discuss the results of four studies that compared pre and post-surgery FEV₁

SUBMITTER: Santus P 

PROVIDER: S-EPMC7330776 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature