Evidence map›Paper›PMID 42518504›Full record

ArticleJHLT open2026

Robotic-assisted lung decortication in the management of pleural space complications after lung transplant.

B J Bromberger, Y B Gesthalter, A V Estrada, N A Kolaitis, R J Shah, J P Singer, L E Leard, L Seijo, J A Maheshwari, M E Kleinhenz and 4 more

Abstract read
In one paragraph

Article in JHLT open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

B J BrombergerDivision of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.
Y B GesthalterDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
A V EstradaDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
N A KolaitisDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
R J ShahDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
J P SingerDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
L E LeardDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
L SeijoDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
J A MaheshwariDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
M E KleinhenzDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
A PerezDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
S R HaysDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, California.
J KukrejaDivision of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.
B N TrinhDivision of Thoracic Surgery, Department of Surgery, City of Hope, Irvine, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted decortication has not been reported in post-lung transplant patients. We reviewed 26 consecutive robotic decortication for lung entrapment syndrome from 2019 to 2024. The time from transplant to decortication was 516 days (IQR 260-887). No thoracotomy conversion was necessary. Median chest tube duration was 4 days (IQR 3-6.5), and median length of stay was 6 days (IQR 3-7). Eighty-eight percent of cases achieved complete lung expansion with a median 315 ml improvement in FVC and 235 ml improvement in FEV1. The most severe Clavien-Dindo complications included 1 take-back for airleak and 1 re-intubation. Robotic-assisted decortication was well tolerated, safe, and effective at removing the fibrotic pleural disease and reversing previously defunctionalized lung.

Indexed as

lung entrapment syndromelung transplantationrobotic-assisted lung decortication

Identifiers

PMID42518504
PMCPMC13383012

What OpenQuestion holds

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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.