{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:05:50Z","timestamp":1789607150061,"version":"build-2803163510"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Complex sleeve resections performed by video-assisted thoracic surgery (VATS) are technically demanding procedures requiring advanced surgical experience. We retrospectively evaluated 21 complex sleeve resections performed by VATS between January 2018 and October 2024. Complex sleeve resections included carinal sleeve pneumonectomy, isolated carinal reconstruction, bronchovascular sleeve lobectomy, vascular sleeve resections, sleeve lingulectomy, distal tracheal reconstruction, and segmental bronchial sleeve resections. Patient selection was based on tumour location, vascular and airway invasion, radiologic resectability, and the feasibility of achieving R0 resection through a minimally invasive approach. The mean operative time was 195\u2009\u00b1\u200970.2 min, and the average blood loss was 340\u2009\u00b1\u2009135.2 mL. Mean postoperative hospital stay was 5.5\u2009\u00b1\u20091.74 days. Early postoperative morbidity occurred in 4 patients (19%), and postoperative mortality occurred in 1 patient (4.7%). R0 resection was achieved in all malignant cases. In experienced centres with advanced minimally invasive thoracic surgery expertise, complex sleeve resections can be safely performed by VATS with acceptable perioperative morbidity and mortality.<\/jats:p>","DOI":"10.1093\/icvts\/ivag225","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:18:31Z","timestamp":1786706311000},"source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Complex Sleeve Resections by Video-Assisted Thoracic Surgery: Single-Centre Study"],"prefix":"10.1093","volume":"41","author":[{"given":"Volkan","family":"Erdo\u011fu","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1739-8329","authenticated-orcid":false,"given":"Melike","family":"\u00dclker","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015feg\u00fcl","family":"\u00c7ift\u00e7i","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merve","family":"Ekinci Fidan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisa","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7i\u011fdem","family":"Obuz","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih","family":"Bilen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"G\u00f6z\u00fcg\u00fcl","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Reanimation, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tu\u011f\u00e7e Bar\u00e7a","family":"\u015eeker","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Reanimation, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0804-2654","authenticated-orcid":false,"given":"Muzaffer","family":"Metin","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital , Istanbul,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"2026091620364334400_ivag225-B1","first-page":"79","article-title":"Video-assisted sleeve lobectomy for non-small cell lung cancer","volume":"21","author":"Santambrogio","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026091620364334400_ivag225-B2","first-page":"E2","article-title":"Double sleeve uniportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer","volume":"3","author":"Gonzalez-Rivas","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2026091620364334400_ivag225-B3","first-page":"2490","article-title":"Outcomes of complex sleeve resection by video-assisted thoracic surgery in patients with non-small cell lung cancer","volume":"12","author":"Qu","year":"2021","journal-title":"Thorac Cancer"},{"key":"2026091620364334400_ivag225-B4","first-page":"495","article-title":"Airway and carinal resection and reconstruction for malignant diseases","volume":"24","author":"Weder","year":"2014","journal-title":"Thorac Surg Clin"},{"key":"2026091620364334400_ivag225-B5","first-page":"6924","article-title":"Video-assisted thoracoscopic surgery for carinal lung resection and reconstruction: technical aspects and outcomes","volume":"12","author":"Li","year":"2020","journal-title":"J Thorac Dis"},{"key":"2026091620364334400_ivag225-B6","first-page":"3014","article-title":"Video-assisted thoracoscopic sleeve lobectomy: perioperative outcomes and learning curve analysis","volume":"13","author":"Soultanis","year":"2021","journal-title":"J Thorac Dis"},{"key":"2026091620364334400_ivag225-B7","first-page":"E4","article-title":"Uniportal video-assisted thoracoscopic bronchovascular and double sleeve resections","volume":"3","author":"Gonzalez-Rivas","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2026091620364334400_ivag225-B8","first-page":"5370","article-title":"Learning curve for video-assisted thoracoscopic sleeve lobectomy in non-small cell lung cancer","volume":"10","author":"Zhang","year":"2018","journal-title":"J Thorac Dis"},{"key":"2026091620364334400_ivag225-B9","first-page":"e23","article-title":"Formation of neocarina after carinal resection in thoracic malignancies","volume":"81","author":"Metin","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"2026091620364334400_ivag225-B10","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/S1010-7940(02)00028-3","article-title":"Can pneumonectomy for non-small cell lung cancer be avoided by sleeve lobectomy?","volume":"21","author":"Martin-Ucar","year":"2002","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag225\/70673482\/ivag225.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/9\/ivag225\/70673482\/ivag225.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/9\/ivag225\/70673482\/ivag225.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:36:49Z","timestamp":1789605409000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag225\/8762945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,4]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag225","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,17]]},"article-number":"ivag225"}}