TABLE 5

Risk factors according to extent of lung resection

Source [ref.]Patients nMortalityRisk factors
STS GTSD [33]1267 pneumonectomies5.6%Age >65 years, congestive heart failure, FEV1 <60%, underlying benign lung disease and extended pneumonectomy
French National Database for Thoracic Surgery (EPITHOR) [34]4498 pneumonectomies7.8%Age >65 years, ASA score ≥3, underweight and right-sided and extended pneumonectomies
STS GTSD [35]18 800 lung cancer resections2.2%Pneumonectomy, bilobectomy, ASA score, functional status, renal dysfunction, induction chemoradiation, steroids, age, urgent procedures, male sex, FEV1 and body mass index
American National Cancer Database [36]120 000 patientsOverall 30-day mortality 3.4% for NSCLC resections;
8.5% for pneumonectomies;
4% for extended lobectomies and bilobectomies;
2.6% for lobectomies;
4.2% for wedge resections
  • STS: Society for Thoracic Surgeons; GTSD: General Thoracic Surgery Database; FEV1: forced expiratory volume in 1 s; ASA: American Society of Anesthesiologists’ classification of physical health; NSCLC: nonsmall cell lung cancer.