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(Chest. 1968;54:112-118.)
© 1968 American College of Chest Physicians

Relationship Between Preoperative Pulmonary Function Studies and Prognosis of Patients Undergoing Pneumonectomy for Carcinoma of the Lung

Joel S. Karliner M.D.1; Roma Coomaraswamy M.D.2; and M. Henry Williams Jr. M.D.3

1 Chest Resident in Medicine, Albert Einstein College of Medicine and Bronx Municipal Hospital Center
2 Instructor in Thoracic Surgery, Albert Einstein College of Medicine and Bronx Municipal Hospital Center
3 Professor of Medicine, Albert Einstein College of Medicine, and Director, Chest Service, Bronx Municipal Hospital Center

Preoperative pulmonary function has been correlated with the clinical course in 29 patients undergoing pneumonectomy, 26 of them for carcinoma of the lung. We conclude that significant airway obstruction alone is not an immediate contraindication to surgery nor does it preclude long-term survival. Resting hypercapnia and evidence of cardiovascular decompensation are considered strong relative contraindications to pneumonectomy, and in the present study, with one exception, patients with such conditions were not operated upon.






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Copyright © 1968 by the American College of Chest Physicians.