Impact of aerobic exercise capacity and procedure-related factors in lung cancer surgery
- Licker, M
- Schnyder, J-M
- Frey, J-G
- Diaper, J
- Cartier, V
- Inan, C
- Robert, J
- Bridevaux, P-O
- Tschopp, J-M
Publication date
January 2011
DOI Publisher
European Respiratory Society (ERS)Abstract
Over the past decades, major progress in patient selection, surgical techniques and anaesthetic management have largely contributed to improved outcome in lung cancer surgery. The purpose of this study was to identify predictors of post-operative cardiopulmonary morbidity in patients with a forced expiratory volume in 1 s 17 mL·kg⁻¹·min⁻¹, those with a peak V'(O₂) <10 mL·kg⁻¹·min⁻¹ had a four-fold higher incidence of cardiac and pulmonary morbidity. Our data support the use of pre-operative CPET and the application of an intra-operative protective ventilation strategy. Further studies should evaluate whether pre-operative physical training can improve post-operative outcome
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