{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:38:11Z","timestamp":1790005091994,"version":"4.0.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We assessed the accuracy of 3 validated lobectomy scoring systems to predict prolonged air leak (PAL) in patients undergoing video-assisted thoracoscopic surgery (VATS) segmentectomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We reviewed all consecutive patients who had a VATS segmentectomy between January 2016 and October 2020. We determined PALs on postoperative day 5. These findings were correlated with the calculated Brunelli (gender, age, body mass index [BMI], forced expiratory volume in 1 s &amp;lt; 80 and pleural adhesion), Epithor (gender, location, dyspnoea score, BMI, type of resection and pleural adhesion) and European Society of Thoracic Surgeons (ESTS) (gender, BMI and forced expiratory volume in 1 s) scores of each patient.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 453 patients (mean age: 66.5 years, female\/male sex ratio: 226\/227) underwent a VATS segmentectomy for malignant (n = 400) and non-malignant (n = 53) disease. Postoperative cardiopulmonary complications and in-hospital mortality rates were 19.6% and 0.4%, respectively. Median chest tube drainage duration and hospital stay were 2 (interquartile range: 1-4) and 4 (interquartile range: 3-7) days, respectively. On day 5, the prevalence of PAL was 14.1%. The ESTS, Brunelli and Epithor scores for the treated population were, respectively, class A (6.8%), class B (3.2%), class C (10.8%) and class D (28.2%); very low and low (0%), moderate (5%), high (6.3%) and very high (21%); and class A (7%), class B (13.2%), class C (24%) and class D (27.8%). All scores correlated with PAL (p \u2264 0.001). The areas under the receiver operating characteristic (ROC) curve were 0.686, 0.680 and 0.644, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>All 3 scoring systems were correlated with PAL &amp;gt; 5 days following the VATS segmentectomies. ESTS scores seem easier to introduce in clinical practice, but validation by a multicentre cohort is mandatory.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac100","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T20:11:29Z","timestamp":1643659889000},"source":"Crossref","is-referenced-by-count":19,"title":["Performance of prolonged air leak scoring systems in patients undergoing video-assisted thoracoscopic surgery segmentectomy"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8705-4279","authenticated-orcid":false,"given":"Michel","family":"Gonzalez","sequence":"first","affiliation":[{"name":"University Hospital of Lausanne , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfram","family":"Karenovics","sequence":"additional","affiliation":[{"name":"University Hospital of Geneva , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3758-7867","authenticated-orcid":false,"given":"Beno\u00eet","family":"B\u00e9dat","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine","family":"Forster","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Olivier","family":"Sauvain","sequence":"additional","affiliation":[{"name":"Hospital of Neuch\u00e2tel , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7808-496X","authenticated-orcid":false,"given":"Fr\u00e9d\u00e9ric","family":"Triponez","sequence":"additional","affiliation":[{"name":"University Hospital of Geneva , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"Hospital of Valais , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Krueger","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Yannis","family":"Perentes","sequence":"additional","affiliation":[{"name":"University Hospital of Lausanne , Switzerland"},{"name":"Centre Universitaire Romand de Chirurgie Thoracique , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"2022082912580157400_ezac100-B1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.athoracsur.2014.05.104","article-title":"The Society of Thoracic Surgeons and the European Society of Thoracic Surgeons general thoracic surgery databases: joint standardization of variable definitions and terminology","volume":"99","author":"Fernandez","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2022082912580157400_ezac100-B2","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.athoracsur.2016.10.061","article-title":"The Severity of Complications Is Associated With Postoperative Costs After Lung 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