Preoperative Pulmonary Evaluation for Lung Cancer Patients

Feras I. Hawari


Generally, two-thirds of all solid tumors occur in patients aged 65 or older and most deaths occur in this age group. Lung cancer is the second most common cancer in males in Jordan after colon cancer. Surgery continues to offer patients their best chance at curing this very aggressive disease. Thus, it is of extreme importance that patients receive full and comprehensive evaluations to risk- stratify them according to their postoperative risk of complications and that they are given every opportunity to undergo tumor resection. This can only be possible if patients are evaluated thoroughly and methodically. The methods used for this evaluation are simple, non-invasive and cost-effective. These methods are also readily available in Jordan. Spirometry, diffusing lung capacity, cardiopulmonary exercise testing and split lung evaluation must be conducted when indicated for all lung cancer patients. When performed appropriately, these tests will help direct patients to their indicated therapy. They will also help include all possible patients who may benefit from surgery with a net result of outcome improvement and cost reduction in health expenses that may arise from any unnecessary complications as a result of a suboptimum evaluation.


lung cancer, spirometry, DLCO, cardiopulmonary exercise testing, split lung function

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