The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 6 , Pages 1297-1302 , December 2009

Pulmonary complications after lung resection in the absence of chronic obstructive pulmonary disease: The predictive role of diffusing capacity

  • Mark K. Ferguson, MD

      Affiliations

    • University of Chicago, Chicago, Ill
    • Corresponding Author InformationAddress for reprints: Mark K. Ferguson, MD, Department of Surgery, 5841 S. Maryland Ave, MC5035, Chicago, IL 60637.
    • ,
  • Henning A. Gaissert, MD

      Affiliations

    • Massachusetts General Hospital, Boston, Mass
    • ,
  • Joshua D. Grab, MS

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • ,
  • Shubin Sheng, MS

      Affiliations

    • Duke Clinical Research Institute, Durham, NC

Received 14 June 2008 ,Revised 16 April 2009 ,Accepted 5 May 2009.

References 

  1. Wang J, Olak J, Ultmann RE, Ferguson MK. Assessment of pulmonary complications after lung resection. Ann Thorac Surg. 1999;67:1444–1447
  2. Bates DV, McIlroy MB. Respiratory function after pneumonectomy. Thorax. 1956;11:303–311
  3. Burrows B, Harrison RW, Adams WE, Humphreys EM, Long ET, Reimann AF. The postpneumonectomy state: clinical and physiologic observations in thirty-six cases. Am J Med. 1960;28:281–297
  4. Dietiker F, Lester W, Burrows B. The effects of thoracic surgery on the pulmonary diffusing capacity. Am Rev Respir Dis. 1960;81:830–838
  5. Berrisford R, Brunelli A, Rocco G, Treasure T, Utley M. Audit and Guidelines Committee of the European Society of Thoracic Surgeons; European Association of Cardiothoracic Surgeons. The European Thoracic Surgery Database project: modeling the risk of in-hospital death following lung resection. Eur J Cardiothorac Surg. 2005;28:306–311
  6. Brunelli A, Refai MA, Salati M, Sabbatini A, Morgan-Hughes NJ, Rocco G. Carbon monoxide lung diffusion capacity improves risk stratification in patients without airflow limitation: evidence for systematic measurement before lung resection. Eur J Cardiothorac Surg. 2006;29:567–570
  7. Ferguson MK, Vigneswaran WT. Diffusing capacity predicts postoperative morbidity after major lung resection in patients without obstructive pulmonary disease. Ann Thorac Surg. 2008;85:1158–1165
  8. Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2007;176:532–555
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  11. Licker M, de Perrot M, Höhn L, Tschopp JM, Robert J, Frey JG, et al. Perioperative mortality and major cardio-pulmonary complications after lung surgery for non–small cell carcinoma. Eur J Cardiothorac Surg. 1999;15:314–319
  12. Ferguson MK, Little L, Rizzo L, Popovich KJ, Glonek GF, Leff A, et al. Diffusing capacity predicts morbidity and mortality after pulmonary resection. J Thorac Cardiovasc Surg. 1988;96:894–900
  13. Ferguson MK, Reeder LB, Mick R. Optimizing selection of patients for major lung resection. J Thorac Cardiovasc Surg. 1995;109:275–283
  14. Markos J, Mullan BP, Hillman DR, Musk AW, Antico VF, Lovegrove FT, et al. Preoperative assessment as a predictor of mortality and morbidity after lung resection. Am Rev Respir Dis. 1989;139:902–910
  15. Pierce RJ, Copland JM, Sharpe K, Barter CE. Preoperative risk evaluation for lung cancer resection: predicted postoperative product as a predictor of surgical mortality. Am J Respir Crit Care Med. 1994;150:947–955
  16. Alam N, Park BJ, Wilton A, Seshan VE, Bains MS, Downey RJ, et al. Incidence and risk factors for lung injury after lung cancer resection. Ann Thorac Surg. 2007;84:1085–1091
  17. Colice GL, Shafazand S, Griffin JP, Keenan R, Bolliger CT. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery. ACCP evidenced-based clinical practice guidelines (2nd edition). Chest. 2007;132:161S–177S
  18. Loewen GM, Watson D, Kohman L, Herndon JE, Shennib H, Kernstine K, et al. Cancer and Leukemia Group B. Preoperative exercise VO2 measurement for lung resection candidates: results of Cancer and Leukemia Group B Protocol 9238. J Thorac Oncol. 2007;2:619–625

 Read at the Thirty-fourth Annual Meeting of The Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(09)01024-1

doi: 10.1016/j.jtcvs.2009.05.045

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 6 , Pages 1297-1302 , December 2009

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