ABSTRACT
As the population ages, preoperative evaluation of patients becomes more critical. Chest wall resection and reconstruction are major undertakings associated with a high risk of morbidity and mortality even in healthy patients. In addition to the inherent risks of the procedure, many patients undergoing this type of surgery have serious comorbid conditions, which increase morbidity and mortality. It is essential to identify high-risk patients preoperatively to ensure satisfactory outcomes. By addressing specific risks early, it is possible to optimize comorbid conditions and minimize postoperative morbidity. For the patient undergoing chest wall reconstruction, particular emphasis should be placed on his or her pulmonary, cardiac and nutritional status. Although in many centers the preoperative work-up is the responsibility of the thoracic surgery team, it is important for reconstructive surgeons to understand the basic principles of evaluation for specific risk factors.
