{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:40:23Z","timestamp":1761561623507},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,16]],"date-time":"2012-03-16T00:00:00Z","timestamp":1331856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We previously reported that the combined use of absorbable mesh and fibrin glue is superior to the use of fibrin glue alone to stop intraoperative air leaks. However, concern remains about whether mesh\u2010based pneumostasis can induce the recurrence of air leaks after chest tube removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed our prospective database of selected patients (<jats:italic>n<\/jats:italic> = 206) who underwent video\u2010assisted major lung resection for cancer. Exclusion criteria included simultaneous combined resection, induction radiotherapy, entire intrathoracic adhesion, or a history of prior ipsilateral thoracotomy. We sealed any intraoperative air leaks with absorbable mesh and fibrin glue and then carried out prophylactic chest\u2010tube drainage for 1\u00a0day.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intraoperative air leaks were detected in 133 (65%) patients. Overall, air leaks were not detected postoperatively in 186 (91%) patients, allowing chest tube removal on the day after the operation. The mean length of time for chest tube drainage was 1.2\u00a0days. A prolonged air leak (&gt;7\u00a0days) was observed in one (0.5%) patient, and this leak resolved by itself. After chest tube removal, an air leak recurred in six (2.9%) patients during the 30\u00a0day follow\u2010up period, necessitating chest tube reinsertion. Although the recurrence was observed more frequently after segmentectomy than after lobectomy (<jats:italic>p<\/jats:italic> = 0.04), the recurrence was not observed more frequently in patients who had an intraoperative air leak than in patients who did not (<jats:italic>p<\/jats:italic> = 0.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early removal of the chest tube after pneumostasis with absorbable mesh is verified in selected patients who underwent video\u2010assisted major lung resection for cancer. However, further attempts should be made to prevent air leaks after anatomical segmentectomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-012-1557-5","type":"journal-article","created":{"date-parts":[[2012,3,15]],"date-time":"2012-03-15T19:21:34Z","timestamp":1331839294000},"page":"1603-1607","source":"Crossref","is-referenced-by-count":3,"title":["Verification of Early Removal of the Chest Tube after Absorbable Mesh\u2010based Pneumostasis Subsequent to Video\u2010assisted Major Lung Resection for Cancer"],"prefix":"10.1002","volume":"36","author":[{"given":"Kazuhiro","family":"Ueda","sequence":"first","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Chest Surgery Yamaguchi University Graduate School of Medicine 1\u20101\u20101 Minami\u2010Kogushi 755\u20108505 Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Chest Surgery Yamaguchi University Graduate School of Medicine 1\u20101\u20101 Minami\u2010Kogushi 755\u20108505 Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masataro","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Chest Surgery Yamaguchi University Graduate School of Medicine 1\u20101\u20101 Minami\u2010Kogushi 755\u20108505 Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao\u2010Sheng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Stem Cell Biology, Life Science and Radiation Research Nagasaki University Graduate School of Biomedical Science 1\u201012\u20104 Sakamoto 852\u20108523 Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimikazu","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Chest Surgery Yamaguchi University Graduate School of Medicine 1\u20101\u20101 Minami\u2010Kogushi 755\u20108505 Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,3,16]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.05.025"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(03)01079\u20108"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.06.080"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.06.021"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2009.11.009"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000008637"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.1_suppl.105S"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.10.082"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.05.006"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.01.077"},{"key":"e_1_2_5_12_2","first-page":"CD003051","article-title":"Surgical sealant for preventing air leaks after pulmonary resections in patients with lung cancer","volume":"20","author":"Serra\u2010Mitjans M","year":"2005","journal-title":"Cochrane Database Syst Rev"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-012-1557-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-012-1557-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-012-1557-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T19:34:48Z","timestamp":1703619288000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-012-1557-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,16]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1007\/s00268-012-1557-5"],"URL":"https:\/\/doi.org\/10.1007\/s00268-012-1557-5","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,16]]}}}