Overview of the different guidelines for undergoing a lobectomy
| Risk | Bolliger 42 | British Thoracic Society 26 | Colice 19 | van Meerbeeck 27 |
| Low | Post-op % pred FEV1 ≥40% and post-op % pred TL,CO ≥40% | FEV1>1.5 LPost-op % pred FEV1≥40% andpost-op % pred TL,CO ≥40% and Sa,O2>90%SWT >25 shuttles# and desaturation <4% and V'O2peak >15 mL·kg−1·min−1 | FEV1>1.5 LPost-op % pred FEV1≥40% and post-op % pred TL,CO ≥40% | FEV1 >80% and TL,CO >80%Post-op % pred FEV1≥40% and post-op % pred TL,CO ≥40%Post-op % pred FEV1<40% and post-op % pred TL,CO <40% and V'O2max >15 mL·kg−1·min−1 |
| Intermediate | Not reported | Not reported | Not reported | Post-op % pred FEV1<40% and post-op % pred TL,CO <40%Post-op % pred FEV1<40% or post-op % pred TL,CO <40% and post-op % pred V'O2max >10 mL·kg−1·min−1 |
| High | Post-op % pred V'O2max <40% or V'O2max <10 mL·kg−1·min−1Post-op % pred FEV1<40% and post-op % pred TL,CO <40%Post-op % pred V'O2max <35% or post-op % pred V'O2max <10 mL·kg−1·min−1 | FEV1≤1.5 LPost-op % pred FEV1<40% and post-op % pred TL,CO <40%Post-op % pred FEV1 <40% or post-op % pred TL,CO <40% or Sa,O2≤90% andSWT <25 shuttles# or desaturation>4%SWT >25 shuttles# and desaturation<4% and V'O2peak <15 mL·kg−1·min−1 | Post-op % pred FEV1<30% whenever the product of post-op % pred FEV1 × post-op % pred TL,CO <1650Post-op % pred FEV1 <40% or post-op % pred TL,CO <40% andV'O2max <10 mL−1kg−1min−1Post-op % pred FEV1<40% and post-op % pred TL,CO <40% andV'O2max <15 mL−1kg−1min−1SWT <25 shuttles# | Post-op % pred V'O2max <10 mL·kg−1·min−1 |
All data assume there is no unsuspected dyspnoea or evidence of interstitial lung disease. Post-op: post-operative; % pred: % predicted; FEV1: forced expiratory volume in one second; TL,CO: transfer factor for carbon monoxide; V′O2max: maximal oxygen uptake; Sa,O2: arterial oxygen saturation; SWT: shuttle walk test; desaturation: peripheral desaturation during the SWT; V′O2peak: peak oxygen uptake. #: 25 shuttles equals 250 m.