ArticleSurgery today2025
Predictors of intraoperative and postoperative air leakage in anatomical pulmonary resection.
Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Inferior pulmonary ligament preservation improves early residual lung compensatory function particularly after right upper lobectomy: a prospective randomized controlled trial.Surgical endoscopy · 2026Article
- Effectiveness of free pericardial fat pad reinforcement for air leak control in pulmonary lobectomy.General thoracic and cardiovascular surgery · 2026Article
- Efficacy of bioabsorbable staple line reinforcement in reducing air leakage following pulmonary resection: a cadaveric study.Journal of thoracic disease · 2026Article
- Microbubble fibrin sealant application technique for prolonged air leak after anatomical lung resection: a retrospective comparative study.Journal of thoracic disease · 2026Article
- From Alveolar Injury to Precision Perioperative Care: Integrating Molecular Biomarkers and Technology-Enabled Strategies for Prolonged Air Leak After Lung Resection.Mediators of inflammation · 2026Review
- Significance of staple height on air leak after wedge resection for pulmonary malignant tumor.Journal of thoracic disease · 2025Article
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Authors and funding
10 authors.
Funding
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Abstract
purposeAir leakage is a common complication of lung surgery that sometimes requires medical intervention and leads to a prolonged hospital stay. This study assessed the risk factors associated with air leakage following anatomical pulmonary resection.
methodsWe retrospectively analyzed 194 patients who underwent anatomical pulmonary resection in 2020. A risk factor analysis was performed separately for intraoperative air leakage (IAL) and postoperative air leakage (PAL) by examining patient characteristics and operative findings.
resultsOf 194 patients, IAL was observed in 94 (48.4%). The number of staplers used for pulmonary resection and Brinkman index were significantly higher in the IAL group than in the non-IAL group (3.2 vs. 2.5, p = 0.005 and 696.2 vs. 477.1, p = 0.013, respectively). PAL was observed in 40 (20.6%) patients (25 IAL and 15 non-IAL patients). There were more lobectomy cases in the PAL group than in the non-PAL group (77.5 vs 60.4%, p = 0.0447). Pleurodesis was performed in 18 (45%) patients in the PAL group.
conclusionThe risk factors differed between IAL and PAL. Since most PAL cases involve the IAL, and approximately half of the PAL cases require pleurodesis, attention should be paid to PAL prevention, especially during stapling procedures in the lung parenchyma.
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