{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:57:28Z","timestamp":1791158248306,"version":"4.1.0"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"50","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p> Abstract: <\/jats:p><jats:p> Introduction: Besides the oncology and operative surgical technics, functional aspects influence the operability of lung cancer. Preoperative risk stratification, evaluation of postoperative complications needs to be considered. Aim: To review international literature and experiences of our institute. Method: We focused the literature of risk stratification of thoracic surgery. Lung function, lung mechanics, chest kinematics, exercise physiology were considered. Effectiveness of pulmonary rehabilitation for cardiovascular system, lung mechanics, muscles, exercise capacity and quality of life were evaluated. Laboratory parameters, comorbidities, obesity, cachexia, smoking cessation were considered. Results: Elevated blood sugar, kidney function, reduced albumin level increased the risk. COPD, sleep apnoea, heart failure, obesity and cachexia influences the outcome. Smoking cessation may reduce postoperative complications. Controlled breathing technics, chest wall mobilization, training have favourable effects. Psychosocial support and dietetics are important. Conclusions: Risk stratification is supported by laboratory parameters, lung function, oxygen uptake and comorbidities. Pulmonary rehabilitation can improve functionality and quality of life. Orv Hetil. 2017; 158(50): 1989\u20131997. <\/jats:p>","DOI":"10.1556\/650.2017.30862","type":"journal-article","created":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T01:29:50Z","timestamp":1512955790000},"page":"1989-1997","source":"Crossref","is-referenced-by-count":8,"title":["A mellkasseb\u00e9szeti m\u0171t\u00e9ti teherb\u00edr\u00f3 k\u00e9pess\u00e9g                     meg\u00edt\u00e9l\u00e9se, perioperat\u00edv l\u00e9gz\u00e9srehabilit\u00e1ci\u00f3"],"prefix":"10.1556","volume":"158","author":[{"given":"Attila","family":"V\u00e1gv\u00f6lgyi","sequence":"first","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Pulmonol\u00f3giai Int\u00e9zet Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Rozgonyi","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Kor\u00e1nyi Pulmonol\u00f3giai Int\u00e9zet Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e1l","family":"Vad\u00e1sz","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Pulmonol\u00f3giai Int\u00e9zet Budapest"},{"name":"Mellkasseb\u00e9szeti Tansz\u00e9ki Csoport,                         Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos Tam\u00e1s","family":"Varga","sequence":"additional","affiliation":[{"name":"L\u00e9gz\u00e9srehabilit\u00e1ci\u00f3s Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Pulmonol\u00f3giai Int\u00e9zet Budapest, Pihen\u0151 \u00fat 1., 1121"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"language":"hu","link":[{"URL":"https:\/\/www.akademiai.com\/doi\/pdf\/10.1556\/650.2017.30862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,2,19]],"date-time":"2019-02-19T15:22:58Z","timestamp":1550589778000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akademiai.com\/doi\/10.1556\/650.2017.30862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":0,"journal-issue":{"issue":"50","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1556\/650.2017.30862"],"URL":"https:\/\/doi.org\/10.1556\/650.2017.30862","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}