ReviewJournal of visualized surgery2024
Mastering the maze: navigating prolonged air leak in thoracic surgery.
Review in Journal of visualized surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Intraoperative Volume Decay Measured Through Mechanical Ventilation as a Predictor of Prolonged Postoperative Air Leak After Uniportal Video-Assisted Thoracic Surgery Lung Resection.Journal of personalized medicine · 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite technological advancements, prolonged air leak (PAL) remains a significant complication in thoracic surgery. PAL, indicative of an alveolar-pleural fistula (APF), impacts patient recovery, quality of life, and healthcare costs. Risk factors such as smoking and surgical techniques predispose patients to PAL, highlighting the importance of preoperative risk assessment. Segmentectomies, while beneficial for early-stage lung neoplasms, pose challenges due to increased PAL risk. Intraoperative techniques like the submersion test aid in PAL detection and categorisation. Standardising intraoperative management through initiatives like the Delphi consensus enhances PAL management. Studies on aerostatic interventions show promise in reducing PAL incidence. Postoperatively, chest drainage strategies play a crucial role, with digital chest drains offering improved monitoring and management precision. Long-term PAL management includes watchful waiting, chemical pleurodesis, and surgical interventions, with autologous blood patching emerging as a cost-effective intervention. Despite the array of interventions available, the lack of standardised guidelines underscores the multifactorial nature of PAL. In the context of visualised thoracic surgery, PAL remains a significant concern, impacting patient outcomes and healthcare costs. Visualised thoracic surgery, which encompasses minimally invasive techniques such as video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracic surgery (RATS), offers several advantages, including reduced postoperative pain, shorter hospital stays, and faster recovery. However, despite these benefits, PAL remains a common complication, particularly in procedures involving lung resection or pleural interventions. Advanced visualisation technology in thoracic surgery allows for precise identification and management of PAL intraoperatively. Techniques such as intraoperative near-infrared fluorescence imaging enable real-time visualisation of air leaks, facilitating prompt intervention and potentially reducing the risk of PAL development. Additionally, adopting enhanced recovery protocols tailored to visualised thoracic surgery may help mitigate PAL risk by optimising perioperative care and promoting early mobilisation. Addressing PAL requires a comprehensive, individualised approach and continued research efforts in thoracic surgery. This review provides an overview of the challenges and strategies in navigating PAL, particularly on APF, emphasising the need for collaborative efforts and tailored approaches to optimise patient outcomes and reduce healthcare costs.
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Registered trials
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.