Cardiothoracic & vascular anesthesia
A New Functional Threshold for Minimally Invasive Lobectomy
Authors' conclusion
The ppoFEV 1 /ppoDLCO threshold of <45% more accurately classified patients for cardiopulmonary complications after MIS lobectomy
Study context
- Population
- Patients undergoing minimally invasive surgery (MIS) lobectomy for clinical stage I to II lung cancer, 2018 to 2022
- Participants
- 946 patients
- Exposure
- ppoFEV1/ppoDLCO threshold <45% vs current guideline threshold <60%
- Outcome
- Proportion correctly classified for cardiopulmonary complications after MIS lobectomy
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Proportion correctly classified
P < 0.001
Observational data: associations, not effects.
Further findings
Prolonged air leak, ppoFEV1/ppoDLCO 45% to 60% vs >60% · biggest difference in incidence among complications
P < 0.001
Predicted probability of cardiopulmonary complications by definition
- Higher for Society of Thoracic Surgeons (STS) definition than European Society of Thoracic Surgeons (ESTS) or Berry definitions across ppoFEV1 and ppoDLCO values
Original publication
A New Functional Threshold for Minimally Invasive Lobectomy. Ann Surg. Published 10 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →