{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:10:39Z","timestamp":1783617039132,"version":"3.55.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"JSPS KAKENHI","award":["21K16523"],"award-info":[{"award-number":["21K16523"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Endoscopic evaluation of anastomosis is effective for the early detection of anastomotic complications after a bronchoplastic procedure. Herein, we aimed to clarify important findings for predicting anastomotic complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This single-centre retrospective study included patients who underwent bronchoplastic surgery between April 2013 and September 2023. Only cases in which bronchoscopy was performed both 1 and 2\u2009weeks after surgery were included. Endoscopic findings (classification by Ludwig and Stoelben, mucosa colour, oedema, slough area and colour and depression) were reviewed for all cases. The accuracy of these findings for predicting anastomotic complications was evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of the 190 patients included in this study, 14 (7.4%) experienced anastomotic abnormalities, 11 had fistulas (5.8%) and 7 had stenosis (3.7%). The onsets of fistula and stenosis were 20\u201328 and 20\u201344\u2009days after surgery, respectively. In 102 patients (53.7%), the slough worsened from the first to the second week postsurgery. Therefore, it was easier to evaluate slough 2\u2009weeks postsurgery rather than 1-week postsurgery. The positive\/negative predicted values of anastomotic complications in endoscopic findings 2\u2009weeks postsurgery were circular slough, 34.2%\/99.3%; slough with dark colour, 39.3%\/98.1%; and depression, 54.2%\/99.4%. The incidence of anastomotic abnormalities was 0% in cases without the 3 findings, 10% in cases with at least 1 finding and 67% in cases with all 3 findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The endoscopic findings of slough on the anastomosis 2\u2009weeks after bronchoplasty can be easily evaluated and accurately predict complications. Three important endoscopic findings were circular slough, dark colour and depression.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae341","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T15:32:03Z","timestamp":1726846323000},"source":"Crossref","is-referenced-by-count":1,"title":["Simple endoscopic estimation to predict anastomotic complications after bronchoplastic procedures"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1956-0708","authenticated-orcid":false,"given":"Mariko","family":"Fukui","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1291-2619","authenticated-orcid":false,"given":"Kenji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kota","family":"Imashimizu","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aritoshi","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Tomita","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1721-6364","authenticated-orcid":false,"given":"Kazuya","family":"Takamochi","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine , Tokyo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"2024100514411655800_ezae341-B1","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/j.athoracsur.2003.07.040","article-title":"Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and sites or recurrences","volume":"77","author":"Deslauriers","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"2024100514411655800_ezae341-B2","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1016\/j.athoracsur.2004.08.062","article-title":"Comparison of morbidity, 30-day mortality, and long-term survival after pneumonectomy and sleeve lobectomy for non-small cell lung carcinoma","volume":"79","author":"Ludwig","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"2024100514411655800_ezae341-B3","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/j.jtcvs.2020.08.027","article-title":"Outcomes of sleeve lobectomy versus pneumonectomy: a propensity score-matched study","volume":"162","author":"Chen","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024100514411655800_ezae341-B4","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.athoracsur.2004.09.011","article-title":"Local control of disease related to lymph node involvement in non-small cell lung cancer after sleeve lobectomy compared with pneumonectomy","volume":"79","author":"Kim","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"2024100514411655800_ezae341-B5","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/JTO.0b013e3181d0a44b","article-title":"Sleeve lobectomy as an alternative procedure to pneumonectomy for non-small cell lung cancer","volume":"5","author":"Park","year":"2010","journal-title":"J Thorac Oncol"},{"key":"2024100514411655800_ezae341-B6","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ejcts.2007.03.018","article-title":"Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? 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