Evidence map›Paper›PMID 38466475›Full record

ArticleSurgical case reports2024

Pulmonary cyst newly formed after lobectomy in various underlying lung conditions.

Satona Tanaka, Naoki Date, Yoshito Imamura, Takafumi Kabuto, Hidenao Kayawake, Hideki Motoyama, Akihiro Aoyama, Hirohi Date

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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 4 institutions in 1 country.

Satona TanakaDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan. satonat@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-0789-2350
Naoki DateDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Yoshito ImamuraDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Takafumi KabutoDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Hidenao KayawakeDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Hideki MotoyamaDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Akihiro AoyamaDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Hirohi DateDepartment of Thoracic Surgery, Kyoto University Hospital, 54, Shogoin-Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Kyoto University Hospital · JPKobe City Nishi-Kobe Medical Center · JPKyoto Katsura Hospital · JPNagoya University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been recently recognized that pulmonary cyst may develop after pulmonary resection, causing various symptoms. Most previously reported cases were after upper lobectomy in patients with chronic obstructive lung disease (COPD). CASE PRESENTATION: Case 1 was a man in his 70 s with interstitial pneumonia (IP). Right lower lobectomy was performed for metastatic lung tumor using video-assisted thoracoscopic surgery (VATS). On postoperative day (POD) 19, computed tomography (CT) revealed a large cyst at the upper interlobular surface of the middle lobe, with pneumoderma and pneumomediastinum. The cyst was incised, polyglycolic acid (PGA) sheet and fibrin glue were applied, and the cyst was sutured. The sutured line was covered again with PGA sheet and fibrin glue. Case 2 was a man in his 70 s with COPD. Right upper lobectomy for primary lung cancer was performed using VATS. On POD 17, CT revealed a large pulmonary cyst at the apex of S6 and massive air leakage was observed. The same surgical procedure as that used in case 1 was performed. Cases 3 and 4 were healthy donors for living-donor lung transplantation. Two months after the right lower lobectomy in Case 3 and 3 months after the left lower lobectomy in Case 4, the patients had respiratory symptoms such as dyspnea and hemosputum. CT revealed a large cyst on the diaphragmatic surface of the right middle lobe in Case 3 and on the posterior mediastinal surface of the left upper lobe in Case 4. Cyst incision, soft coagulation, and application of PGA sheet with fibrin glue were performed in both cases. CT performed 1 year after surgery showed no development of a pulmonary cyst or air space in these four cases.

conclusionsPulmonary cysts newly formed after lobectomy can develop not only in COPD or IP but also in healthy lungs. Our findings suggest that incision of the cyst and application of fibrin glue and PGA sheet with or without suturing the cyst wall is effective for management.

Indexed as

LobectomyPneumatocelePulmonary cyst

Identifiers

PMID38466475
PMCPMC10928030
OpenAlexW4392656377

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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.