Objective assessment of respiratory and cardiovascular reserves is important for planning of total resections in patients with non-small cell lung cancer (NSCLC). Chronic obstructive pulmonary disease is one of the leading comorbidities in patients with newly diagnosed NSCLC. Noninvasive assessment of exercise tolerance (6-minute step test, stair test) combined with analysis of external respiratory function and diffusing capacity of lungs underlie basic testing before lung resections. This approach is valuable to identify patients with high risk of postoperative respiratory and vascular complications. This review is devoted to diagnostic value of noninvasive, instrumental and exercise tests for predicting the risk of complications before lung resections, as well as potential feasibility of preoperative functional rehabilitation in patients with NSCLC and respiratory failure.
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