{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T17:27:40Z","timestamp":1772126860300,"version":"3.50.1"},"reference-count":48,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thoracic.theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Surgery Clinics"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.thorsurg.2020.04.007","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T18:03:54Z","timestamp":1590170634000},"page":"305-314","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection"],"prefix":"10.1016","volume":"30","author":[{"given":"Praveen","family":"Sridhar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia R.","family":"Litle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morihito","family":"Okada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.thorsurg.2020.04.007_bib1","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.athoracsur.2009.12.012","article-title":"Incidence and risk factors of persistent air leak after major pulmonary resection and use of chemical pleurodesis","volume":"89","author":"Liberman","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib2","first-page":"15","article-title":"Use of the heimlich valve to shorten hospital stay after lung reduction surgery for emphysema","volume":"4975","author":"Mckenna","year":"1996","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib3","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.chest.2017.02.020","article-title":"Incidence of persistent air leaks","volume":"152","author":"Dugan","year":"2017","journal-title":"Chest"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib4","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.ejcts.2004.11.004","article-title":"Predictors of prolonged air leak following pulmonary lobectomy","volume":"27","author":"Stolz","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2003.12.022","article-title":"Comparison of water seal and suction after pulmonary lobectomy: a prospective, randomized trial","author":"Brunelli","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib6","article-title":"Prospective randomized trial compares suction versus water seal for air leaks","author":"Cerfolio","year":"2001","journal-title":"Surg Clin North Am"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib7","first-page":"833","article-title":"Advances in thoracostomy tube management","volume":"82","author":"Cerfolio","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib8","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1378\/chest.121.3.831","article-title":"Suction vs water seal after pulmonary resection \u2217 a randomized prospective study","volume":"121","author":"Marshall","year":"2002","journal-title":"Chest"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib9","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1007\/s11748-017-0829-2","article-title":"Low-voltage coagulation, polyglycolic acid sheets, and fibrin glue to control air leaks in lung surgery","volume":"65","author":"Kawai","year":"2017","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib10","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.athoracsur.2014.11.040","article-title":"Controlling air leaks using free pericardial fat pads as surgical sealant in pulmonary resection","volume":"99","author":"Ikeda","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib11","doi-asserted-by":"crossref","first-page":"e215","DOI":"10.1016\/j.athoracsur.2018.04.046","article-title":"Use of stitching and bioabsorbable mesh and glue to combat prolonged air leaks","volume":"106","author":"Tanaka","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib12","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1016\/j.athoracsur.2013.03.011","article-title":"Efficacy of polyglycolic acid sheet after thoracoscopic bullectomy for spontaneous pneumothorax","volume":"95","author":"Lee","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib13","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1016\/j.athoracsur.2017.01.014","article-title":"Management of intersegmental plane on pulmonary segmentectomy concerning postoperative complications","volume":"103","author":"Saito","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib14","doi-asserted-by":"crossref","first-page":"1858","DOI":"10.1016\/j.athoracsur.2007.06.080","article-title":"Sutureless pneumostasis using polyglycolic acid mesh as artificial pleura during video-assisted major pulmonary resection","author":"Ueda","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib15","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1016\/j.athoracsur.2010.07.040","article-title":"Simple prophylactic fixation for lung torsion","volume":"90","author":"Uramoto","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib16","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1007\/s00268-012-1557-5","article-title":"Verification of early removal of the chest tube after absorbable mesh-based pneumostasis subsequent to video-assisted major lung resection for cancer","volume":"36","author":"Ueda","year":"2012","journal-title":"World J Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib17","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1510\/icvts.2010.246124","article-title":"The covering with forceps-assisted polymeric biodegradable sheet and endostapling method: a simplified technique for wide coverage and reinforcement of staple-line in video-assisted thoracoscopic bullectomy for spontaneous pneumothorax located on the Wor","author":"Saito","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib18","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.jtcvs.2006.11.005","article-title":"A\u00a0novel video-assisted anatomic segmentectomy technique: Selective segmental inflation via bronchofiberoptic jet followed by cautery cutting","author":"Okada","year":"2007","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib19","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1007\/s00595-009-4131-5","article-title":"An evaluation of the surgical morbidity of polyglycolic acid felt in pulmonary resections","volume":"40","author":"Nakamura","year":"2010","journal-title":"Surg Today"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib20","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1510\/icvts.2008.201814","article-title":"Management of a complicated pulmonary fistula caused by lung cancer using a fibrin glue-soaked polyglycolic acid sheet covered with an intercostal muscle flap located on the World Wide Web at\u202f: Management of a complicated pulmonary fistula caused by lung","author":"Maniwa","year":"2009","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib21","first-page":"1978","article-title":"Covering the staple line with a polyglycolic acid sheet after bullectomy for primary spontaneous pneumothorax prevents postoperative recurrent pneumothorax","volume":"7","author":"Hirai","year":"2015","journal-title":"J\u00a0Thorac Dis"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1749-8090-6-61","article-title":"Comparison of postoperative pulmonary function and air leakage between pleural closure vs . mesh-cover for intersegmental plane in segmentectomy","volume":"6","author":"Yoshimoto","year":"2011","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib23","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.jtcvs.2009.06.021","article-title":"Sutureless pneumostasis using bioabsorbable mesh and glue during major lung resection for cancer: Who are the best candidates? Abbreviations and acronyms","volume":"139","author":"Ueda","year":"2010","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib24","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.jtcvs.2006.03.047","article-title":"Use of a polymeric sealant to reduce air leaks after lobectomy","volume":"2","author":"Venuta","year":"2006","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib25","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1016\/j.athoracsur.2003.10.049","article-title":"Prospective randomized study evaluating a biodegradable polymeric sealant for sealing pulmonary resection","volume":"77","author":"Allen","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib26","first-page":"1","article-title":"Prospective evaluation of biodegradable polymeric sealant for intraoperative air leaks","author":"Park","year":"2016","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1749-8090-7-106","article-title":"Use of a sealant to prevent prolonged air leaks after lung resection: a prospective randomized study","volume":"7","author":"Lequaglie","year":"2012","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib28","first-page":"304","article-title":"A\u00a0prospective randomized controlled study to assess the effectiveness of CoSeal to seal air leaks in lung surgery","volume":"40","author":"Tan","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib29","doi-asserted-by":"crossref","first-page":"8","DOI":"10.7812\/TPP\/18-059","article-title":"Progel use is not associated with decreased incidence of postoperative air leak after nonanatomic lung surgery","volume":"23","author":"Gologorsky","year":"2019","journal-title":"Perm J"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1749-8090-5-50","article-title":"Initial experience with a synthetic sealant PleuraSeal TM after pulmonary resections: a prospective study with retrospective case matched controls","volume":"5","author":"Dango","year":"2010","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib31","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.ejcts.2009.01.027","article-title":"A\u00a0prospective randomized study to assess the efficacy of a surgical sealant to treat air leaks in lung surgery","volume":"35","author":"D\u2019Andrilli","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib32","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.jtcvs.2008.02.079","article-title":"Autologous fibrin sealant reduces the incidence of prolonged air leak and duration of chest tube drainage after lung volume reduction surgery: A prospective randomized blinded study","author":"Moser","year":"2008","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib33","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.ejcts.2006.11.033","article-title":"Efficiency of fleece-bound sealing TachoSil) of air leaks in lung surgery: a prospective randomised trial","volume":"31","author":"Anegg","year":"2007","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib34","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1093\/icvts\/ivs571","article-title":"Efficacy and safety of human fibrinogen \u2013 thrombin patch (TachoSil\u00ae) in the treatment of postoperative air leakage in patients submitted to redo surgery for lung malignancies\u202f: a randomized trial","volume":"16","author":"Filosso","year":"2013","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib35","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.athoracsur.2011.05.104","article-title":"Safety and effectiveness of a new fibrin pleural air leak sealant: a multicenter , controlled","volume":"92","author":"Gonfiotti","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib36","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1510\/icvts.2009.202770","article-title":"Institutional report - Thoracic non-oncologic Air-leak management after upper lobectomy in patients with fused fissure and chronic obstructive pulmonary disease\u202f: a pilot trial comparing sealant and standard treatment","volume":"9","author":"Rena","year":"2009","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib37","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.ejcts.2010.04.021","article-title":"Pleural tent for decreasing air leak following upper lobectomy\u202f: a prospective randomised trial","volume":"38","author":"Allama","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib38","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.athoracsur.2013.08.013","article-title":"A\u00a0meta-analysis assessing the benefits of concomitant pleural tent procedure after upper lobectomy","volume":"97","author":"Uzzaman","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib39","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0022-5223(98)70275-2","article-title":"Pleural tenting during upper lobectomy decreases chest tube time and total hospitalization days","volume":"115","author":"Robinson","year":"1997","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib40","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/S1010-7940(01)00947-2","article-title":"Pleural tenting following upper lobectomies or bilobectomies of the lung to prevent residual air space and prolonged air leak","volume":"20","author":"Okur","year":"2001","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib41","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.athoracsur.2014.02.066","article-title":"Extracellular matrix pleural tent for persistent air leak and air space in a child after upper lobectomy","volume":"99","author":"Mcconnell","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib42","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.1016\/S0003-4975(02)03989-9","article-title":"Pleural tent after upper lobectomy\u202f: a randomized study of efficacy and duration of effect","volume":"74","author":"Brunelli","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib43","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1016\/S0003-4975(00)01675-1","article-title":"Pneumoperitoneum after concomitant resection of the right middle and lower lobes (Bilobectomy )","volume":"70","author":"Cerfolio","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib44","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1055\/s-2008-1039108","article-title":"Prophylactic intraoperative pneumoperitoneum decreases pleural space problems after lower lobectomy or bilobectomy of the lung","author":"Okur","year":"2009","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib45","first-page":"375","article-title":"Therapeutic pneumoperitoneum: relevant or obsolete in 2015\u202f?","author":"Podgaetz","year":"2017","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib46","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.1016\/j.athoracsur.2016.01.049","article-title":"Standardized approach to prolonged air leak reduction after pulmonary resection","volume":"101","author":"Drahush","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib47","doi-asserted-by":"crossref","first-page":"4975","DOI":"10.1016\/S0003-4975(00)02203-7","article-title":"A\u00a0comparative study of buttressed versus nonbuttressed staple line in pulmonary resections","volume":"71","author":"Miller","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.thorsurg.2020.04.007_bib48","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1055\/s-0033-1363295","article-title":"Prospective randomized trial comparing buttressed versus nonbuttressed stapling in patients undergoing pulmonary lobectomy","author":"Takamochi","year":"2014","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["Thoracic Surgery Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547412720300335?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547412720300335?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:34:35Z","timestamp":1761546875000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547412720300335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":48,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S1547412720300335"],"URL":"https:\/\/doi.org\/10.1016\/j.thorsurg.2020.04.007","relation":{},"ISSN":["1547-4127"],"issn-type":[{"value":"1547-4127","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection","name":"articletitle","label":"Article Title"},{"value":"Thoracic Surgery Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.thorsurg.2020.04.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}