Miller J I, Grossman G D, Hatcher C R
Surg Gynecol Obstet. 1981 Dec;153(6):893-5.
Pulmonary function criteria for pulmonary resection, other than pneumonectomy, have not been previously described. A series of 500 consecutive pulmonary resections to which specific pulmonary function criteria were applied in determining the amount and the extent of feasible resection of the lung are presented. By application of these criteria, an accurate assessment of the type and extent of pulmonary resection a patient can tolerate without expected mortality can be made. With utilization of these criteria, the operative mortality for segmental resection was 0.2 per cent; for lobectomy, zero per cent, and for pneumonectomy, 4.4 per cent.
除全肺切除外，肺切除术的肺功能标准此前尚未有过描述。本文介绍了连续500例肺切除术，在确定可行的肺切除量和范围时应用了特定的肺功能标准。通过应用这些标准，可以准确评估患者能够耐受且预期无死亡风险的肺切除类型和范围。运用这些标准，肺段切除术的手术死亡率为0.2%；肺叶切除术为0%，全肺切除术为4.4%。
