Evidence map›Paper›PMID 40944304›Full record

ArticleThoracic cancer2025

Thoracoscopic Closure of Alveolar Pleural Fistula by Application of Pleural Flap and Polymeric Sealant.

Alfonso Fiorelli, Noemi Maria Giorgiano, Angela Iovine, Antonella Tamburrino, Gaetana Messina

Abstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Alfonso FiorelliThoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID https://orcid.org/0000-0002-0628-613X
Noemi Maria GiorgianoThoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID https://orcid.org/0009-0006-4029-5837
Angela IovineThoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonella TamburrinoAnesthesiology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gaetana MessinaThoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID https://orcid.org/0000-0001-5129-7201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistent air leaks due to alveolar pleural fistula following lung resection were a frustrating clinical condition for patients and clinicians, associated with a prolonged hospital stay and increased morbidity. Several surgical strategies have been reported over the years for the closure of alveolar fistula, but the best treatment was still debated. Herein, we reported the clinical case of a patient who experienced a persistent air leak due to alveolar-pleural fistula following thoracoscopic right upper lobectomy for the management of early lung cancer. The fistula was successfully closed by thoracoscopic application of a pleural flap and polymeric sealant. Our new strategy could turn out to be useful for surgeons when standard procedures for management of APF were unfeasible or difficult to perform. Obviously, our impression should be validated by future large studies in a prospective manner.

Indexed as

FistulaLung NeoplasmsPleural DiseasesSurgical FlapsThoracoscopyAgedHumansMalePneumonectomy

Identifiers

PMID40944304
PMCPMC12432017

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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.