par Brunelli, Alessandro;Charloux, Anne;Bolliger, Chris Thomas;Rocco, Gaetano;Sculier, Jean-Paul
;Varela, Gonzalo;Licker, Marc Joseph;Ferguson, Mark M.K.;Faivre-Finn, Corinne;Huber, Rudolf Maria;Clini, Enrico Maria Aria E.M.;Win, Thida;De Ruysscher, Dirk De;Goldman, Lee
Référence European journal of cardio-thoracic surgery, 36, 1, page (181-184)
Publication Publié, 2009-07

Référence European journal of cardio-thoracic surgery, 36, 1, page (181-184)
Publication Publié, 2009-07
Article révisé par les pairs
Résumé : | The European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS) established a joint task force with the purpose to develop clinical evidence-based guidelines on evaluation of fitness for radical therapy in patients with lung cancer. The following topics were discussed, and are summarized in the final report along with graded recommendations: Cardiologic evaluation before lung resection; lung function tests and exercise tests (limitations of ppoFEV1; DLCO: systematic or selective?; split function studies; exercise tests: systematic; low-tech exercise tests; cardiopulmonary (high tech) exercise tests); future trends in preoperative work-up; physiotherapy/rehabilitation and smoking cessation; scoring systems; advanced care management (ICU/HDU); quality of life in patients submitted to radical treatment; combined cancer surgery and lung volume reduction surgery; compromised parenchymal sparing resections and minimally invasive techniques: the balance between oncological radicality and functional reserve; neoadjuvant chemotherapy and complications; definitive chemo and radiotherapy: functional selection criteria and definition of risk; should surgical criteria be re-calibrated for radiotherapy?; the patient at prohibitive surgical risk: alternatives to surgery; who should treat thoracic patients and where these patients should be treated? © 2009 European Association for Cardio-Thoracic Surgery. |