Evidence map›Paper›PMID 29600074›Full record

ArticleJournal of thoracic disease2018

Presence of pleural adhesions can predict conversion to thoracotomy and postoperative surgical complications in patients undergoing video-assisted thoracoscopic lung cancer lobectomy.

Shuang-Jiang Li, Kun Zhou, Yan-Ming Wu, Ming-Ming Wang, Cheng Shen, Zhi-Qiang Wang, Guo-Wei Che, Lun-Xu Liu

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. An innovative "Grading System for Lung Adhesions" - The Indian Way.Lung India : official organ of Indian Chest Society · 2026
    Article
  3. Benign vs. malignant pulmonary nodules: pleural adhesion risks and predictors.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
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  14. Anesthesia for Minimally Invasive Coronary Artery Bypass Surgery.Journal of cardiovascular development and disease · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Extended lobectomy-how minimally invasive can we go?Translational lung cancer research · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Shuang-Jiang LiDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Kun ZhouDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Yan-Ming WuDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Ming-Ming WangDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Cheng ShenDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhi-Qiang WangDepartment of Thoracic Surgery, Chongqing University Cancer Hospital & Chongqing Cancer Institute & Chongqing Cancer Hospital, Chongqing 400030, China.
Guo-Wei CheDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Lun-Xu LiuDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
West China Hospital of Sichuan University · CNSichuan University · CNChongqing Cancer Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of our cohort study was to investigate the effects of pleural adhesions on perioperative outcomes in patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy for non-small-cell lung cancer (NSCLC).

methodsWe performed a single-center retrospective analysis on the prospectively-maintained dataset at our unit from February 2014 to November 2015. Patients were divided into two groups (Group A: presence of pleural adhesions; Group B: absence of pleural adhesions) according to our grading system of pleural adhesions when entering the chest cavity. Demographic differences in perioperative outcomes between these two groups were initially estimated. A multivariate logistic-regression analysis was then performed to confirm the predictive value of the presence of pleural adhesions.

resultsA total of 593 NSCLC patients undergoing VATS lobectomy were enrolled. The conversion and postoperative morbidity rates were 3.2% and 29.2%, respectively. There were 154 patients with pleural adhesions (Group A) and 439 patients without pleural adhesions (Group B). Group A patients had significantly higher rates of conversion to thoracotomy (9.1%

conclusionsPresence of pleural adhesions can predict conversion to thoracotomy and postoperative surgical complications in patients undergoing VATS lobectomy for NSCLC. Our study calls for an internationally accepted grading system for the presence of pleural adhesions to stratify the surgical risk.

Indexed as

lobectomynon-small cell lung cancer (NSCLC)Pleural adhesionsvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID29600074
PMCPMC5863195
OpenAlexW2783944956

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.