Evidence map›Paper›PMID 37144333›Full record

Observational studyThoracic cancer2023

Intraoperative ventilatory leak: Real-time guidance for management of air leak in lung cancer patients undergoing VATS lobectomy.

Gaetana Messina, Giovanni Natale, Mary Bove, Giorgia Opromolla, Vincenzo Di Filippo, Mario Martone, Antonio Noro, Beatrice Leonardi, Rosa Mirra, Francesca Capasso and 13 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Observational
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

23 authors at 2 institutions in 1 country.

Gaetana MessinaThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.ORCID 0000-0001-5129-7201
Giovanni NataleThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Mary BoveThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Giorgia OpromollaThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Vincenzo Di FilippoThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Mario MartoneThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Antonio NoroThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Beatrice LeonardiThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Rosa MirraThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Francesca CapassoThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Davide Gerardo PicaThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Mario GrandeThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Francesco Panini D'albaThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Giuseppe VicarioThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Giovanni LiguoriAnesthesiology and Intensive Care Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Roberta FioritoAnesthesiology and Intensive Care Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Massimo CiaravolaAnesthesiology and Intensive Care Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Eva MassimillaOtorhinolaryngology Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Giovanni MessinaNutrition Science, University of Foggia, Foggia, Italy.
Alfonso FiorelliThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.ORCID 0000-0002-0628-613X
Giovanni VicidominiThoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Fortunato CiardielloOncology, Department of Precision Medicine, Università della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
Morena FasanoOncology, Department of Precision Medicine, Università della Campania "Luigi Vanvitelli", Naples, Campania, Italy.
University of Campania "Luigi Vanvitelli" · ITUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent air leak (PAL) is a common complication after video-assisted thoracoscopic surgery (VATS) lobectomy. We aimed to evaluate whether the intraoperative quantitative measurement of air leaks using a mechanical ventilation test could predict PAL and identify those patients needing additional treatment for the prevention of PAL.

methodsThis was an observational, retrospective, single-center study that included 82 patients who underwent VATS lobectomy with a mechanical ventilation test for VL. Only 2% of patients who underwent lobectomy surgery had persistent air leaks.

resultsAt the end of lobectomy performed in patients with non-small cell lung cancer, the lung was reinflated at a 25-30 mmH2O pressure and ventilatory leaks (VL) were calculated and in relation to the entity of the air leaks, we evaluated the most suitable intraoperative treatment to prevent persistent air leaks.

conclusionVL is an independent predictor of PAL after VATS lobectomy; it provides a real-time intraoperative guidance to identify those patients who can benefit from additional intraoperative preventive interventions to reduce PAL.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHumansLungPneumonectomyPostoperative ComplicationsRetrospective StudiesThoracic Surgery, Video-Assistedlung resectionnon-small cell lung cancerpersistent air leaks (PAL)sealantVATS lobectomy

Identifiers

PMID37144333
PMCPMC10290918
OpenAlexW4372331718

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.