ArticleYonsei medical journal2026
Effect of Donor Lung Resection Technique on Bronchopleural Fistula in Transplantation: Pulmonary Tailoring Versus Hilar Dissection.
Article in Yonsei medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeDonor shortages in many countries necessitate the use of marginal donor lungs despite challenges such as size mismatch, and donor lung pathologies requiring resection, such as consolidation or anatomical abnormalities. One way to address these challenges is through major pulmonary resection of the donor lung, which can be in the form of hilar dissection (HD), an anatomical resection, or pulmonary tailoring (PT), a non-anatomical resection. No studies have compared these two techniques; hence, we aimed to compare their intraoperative and postoperative outcomes. MATERIALS AND
methodsWe retrospectively analyzed 40 lung transplant recipients who underwent major pulmonary resection of donor lungs between January 2014 and May 2023. The patients were divided into HD (n=18) and PT (n=22) groups, and their intraoperative and postoperative outcomes were compared.
resultsPostoperative bronchopleural fistula (BPF) occurred in 22.2% of patients in the HD group but was absent in the PT group (
conclusionThe PT technique significantly reduced the risk of BPF compared with the HD technique, suggesting its potential as a safer technique for managing oversized donor lungs and addressing other pathologies requiring resection.
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