The most recent guidelines provide detailed algorithms for preoperative evaluation and preoperative risk assessment of lung resection candidates. There is no single gold standard test to predict the adequacy of post–resection lung function. Pulmonary evaluation includes “the three legged stool”: respiratory mechanics, pulmonary parenchymal and cardio-pulmonary function.

Keywords: preoperative evaluation, predictive postoperative forced expiratory volume in one second (ppoFEV1), cardiopulmonary exercise test (CPET), high-risk pulmonary patient.

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