ArticleJournal of thoracic disease2020
Utility of the sliding lung sign for the prediction of preoperative intrathoracic adhesions.
Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 19 citations in OpenAlex.
- A series of experiences with TissuePatch™ for alveolar air leak after pulmonary resection.General thoracic and cardiovascular surgery · 2023Trial
- The negative impact of pleural adhesion on pulmonary function: a retrospective study.Journal of cardiothoracic surgery · 2026Article
- Research progress on imaging prediction of pleural adhesion: a narrative review.Journal of thoracic disease · 2026Review
- Preoperative assessment of pleural adhesions using computed tomography scan and positron emission tomography in patients with lung cancer.General thoracic and cardiovascular surgery · 2026Article
- Intrathoracic oxygen detects alveolar air leak following video-assisted thoracoscopic lung resection.Scientific reports · 2025Article
- Dry Medical Thoracoscopy with Artificial Pneumothorax Induction Using Veress Needle.Tuberculosis and respiratory diseases · 2025Article
- Surgical outcomes and learning curve of complex versus simple segmentectomy for uniportal video-assisted thoracoscopic surgery: an initial experience of 100 cases of a single experienced surgeon.Journal of thoracic disease · 2024Article
- Early chest tube removal within 6 hours after thoracic surgery results in improved postoperative prognosis and no adverse effects.Journal of thoracic disease · 2024Article
- Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion.BMC pulmonary medicine · 2024Article
- One size does not fit all: prediction of presence of pleural adhesions.Journal of thoracic disease · 2023Article
- The preoperative assessment of thoracic wall adhesions using four-dimensional computed tomography.General thoracic and cardiovascular surgery · 2023Article
- Complex assessment of immunosuppression effects in prevention and treatment of adhesive disease, an experiment.Journal of medicine and life · 2022Article
- Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign.Journal of cardiothoracic surgery · 2022Article
- Advances and safe use of energy devices in lung cancer surgery.General thoracic and cardiovascular surgery · 2022Review
- Effectiveness and failure factors of manual aspiration using a small needle for large pneumothorax in stable patients.Journal of thoracic disease · 2022Article
- Preoperative Lung Ultrasound to Detect Pleural Adhesions: A Systematic Review and Meta-Analysis.Cureus · 2021Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo assess the potential of the ultrasonographic sliding lung sign to detect severe intrathoracic adhesions before surgery.
methodsThis was a prospective, single-center, observational study including all patients aged 20-89 years undergoing elective thoracic surgery. Patients with pneumothorax, pyothorax, hemothorax, chylothorax, and hydrothorax were excluded. We recorded the ultrasound sliding lung sign, surgical characteristics, and follow-up parameters: past medical history, respiratory function, chest X-ray findings, and computed tomography (CT) findings. Severe intrathoracic adhesion was defined as the need for adhesiolysis requiring more than 30 minutes.
resultsA total of 168 patients consented to participate. All 15 patients without the sliding lung sign had hard severe adhesions [specificity 100%, sensitivity 88.2%, positive predictive value (PPV) 100%, negative predictive value (NPV) 98.7%, and area under curve (AUC) 0.94]. There were two false-negative results, both of which were soft adhesions. Although blunting of the costophrenic (CP) angle, CT findings, past medical history, and restrictive lung disease were identified as significant risk factors of severe intrathoracic adhesion, all areas under the curve were low (0.71, 0.71, 0.69, 0.61, respectively). Thoracotomy frequency, intraoperative bleeding, operative time, and postoperative hospitalization were significantly greater in these patients than in those with non-severe adhesions.
conclusionsThe ultrasound sliding lung sign could be used to predict severe intrathoracic adhesions before surgery. Preoperative confirmation of the ultrasound sliding lung sign is important for planning surgical approaches and implementing appropriate safety management.
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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.