{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:58:34Z","timestamp":1785383914885,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Postoperative ischemic bronchitis (POIB) is a known precursor to bronchopleural fistula (BPF) after lung resection with systematic lymphadenectomy, occurring in 2.5%\u20133.2% of cases, yet has only been reported following open thoracotomy. We report a case of POIB progressing to BPF following robotic lobectomy. A 51\u2010year\u2010old male underwent robotic\u2010assisted right lower lobectomy with systematic lymph node dissection for stage IB lung adenocarcinoma. Three weeks postoperatively, he developed dyspnea and hemoptysis. Diagnostic bronchoscopy revealed transmural necrosis of the right mainstem bronchus (a 2.5\u2009\u00d7\u20094\u2009cm defect with grade 4\u20135 ischemic changes) which required surgical repair. Follow\u2010up bronchoscopy confirmed complete healing. As robotic lobectomy enables more extensive lymphadenectomy than conventional approaches, pulmonologists should recognize POIB as a potential complication. Systematic postoperative bronchoscopy between days 7 and 12 should be considered in high\u2010risk patients, as 80% of POIB cases are asymptomatic and early detection may prevent progression to BPF.<\/jats:p>","DOI":"10.1002\/rcr2.70682","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:54:23Z","timestamp":1784166863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Ischemic Bronchitis Progressing to Bronchopleural Fistula After Robotic Lobectomy: A First Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Rahaf A.","family":"Jereisat","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Houston\/HCA Clear Lake  Webster Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7266-0364","authenticated-orcid":false,"given":"Nawras","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Houston\/HCA Clear Lake  Webster Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majd","family":"Alnas","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine University of Houston\/HCA Clear Lake  Webster Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-1809"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.06.026"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-023-02761-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.09.021"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.03.047"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004922"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.06.036"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.03.014"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.853530"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.09.040"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.10.45"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70682","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70682","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70682","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:05:55Z","timestamp":1785380755000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/rcr2.70682"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70682","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70682"}}