RT Journal Article
SR Electronic
T1 Cardiopulmonary Exercise Testing (CPET) as Preoperative Test Before Lung Resection
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 1013
OP 1020
VO 28
IS 6
A1 ANASTASIOS KALLIANOS
A1 AGGELIKI RAPTI
A1 SOTIRIOS TSIMPOUKIS
A1 ANDRIANI CHARPIDOU
A1 IOANNIS DANNOS
A1 ELIAS KAINIS
A1 KONSTANTINOS SYRIGOS
YR 2014
UL http://iv.iiarjournals.org/content/28/6/1013.abstract
AB Lung resection is still the only potentially curative therapy for patients with localized non-small lung cancer (NSCLC). However, the presence of cardiovascular comorbidities and underlying lung disease increases the risk of postoperative complications. Various studies have evaluated the use of different preoperative tests in order to identify patients with an increased risk for postoperative complications, associated with prolonged hospital stay and increased morbidity and mortality. In this topic review, we discuss the role of cardiopulmonary exercise testing (CPET) as one of the preoperative tests suggested for lung cancer patients scheduled for lung resection. We describe different types of exercise testing techniques and present algorithms of preoperative evaluation in lung cancer patients. Overall, patients with maximal oxygen consumption (VO2max) <10 mL/kg/min or those with VO2max <15 mL/kg/min and both postoperative FEV1 and DLCO<40% predicted, are at high risk for perioperative death and postoperative cardiopulmonary complications, and thus should be offered an alternative medical treatment option.