Management before anatomical lung resections: prehabilitation and functional testing

Samsonik S.A.; Esakov Yu.S.; Regushevskaya D.V.; Banova Zh.I.

doi:https://doi.org/10.17116/hirurgia202412191

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Abstract:

Objective assessment of respiratory and cardiovascular reserves is important for planning of total resections in patients with non-small cell lung cancer (NSCLC). Chronic obstructive pulmonary disease is one of the leading comorbidities in patients with newly diagnosed NSCLC. Noninvasive assessment of exercise tolerance (6-minute step test, stair test) combined with analysis of external respiratory function and diffusing capacity of lungs underlie basic testing before lung resections. This approach is valuable to identify patients with high risk of postoperative respiratory and vascular complications. This review is devoted to diagnostic value of noninvasive, instrumental and exercise tests for predicting the risk of complications before lung resections, as well as potential feasibility of preoperative functional rehabilitation in patients with NSCLC and respiratory failure.

Keywords:

thoracic surgery

non-small cell lung cancer

anatomical lung resections

cardiorespiratory exercise testing

prehabilitation

high-risk patient

postoperative complications

Authors:

Samsonik S.A.

Moscow City Clinical Oncology Hospital No. 1

ORCID: 0000-0002-7645-7299

Esakov Yu.S.

Moscow City Clinical Oncology Hospital No. 1

ORCID: 0000-0002-5933-924X

Regushevskaya D.V.

Pirogov Moscow City Clinical Hospital No. 1

ORCID: 0000-0002-7397-4282

Banova Zh.I.

Moscow City Clinical Oncology Hospital No. 1

ORCID: 0000-0001-7351-2662

Received:

26.02.2024

Accepted:

25.04.2024

Close metadata

References:

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