{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:05:27Z","timestamp":1777417527099,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,6]],"date-time":"2018-09-06T00:00:00Z","timestamp":1536192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81673031"],"award-info":[{"award-number":["81673031"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Since the conception of enhanced recovery after surgery protocols, tubeless strategies have become popular. Herein, we introduce a previously unreported alternative air\u2010extraction strategy for patients who have undergone thoracoscopic wedge resection and explore its feasibility and safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January 2015 and June 2017, 264 consecutive patients underwent thoracoscopic wedge resection with different drainage strategies. Patients were divided according to the postoperative drainage strategies used: routine chest tube drainage (RT group), complete omission of chest tube drainage (OT group), and prophylactic air\u2010extraction catheter insertion procedure (PC group). Using the propensity score matching method, clinical parameters and objective operative qualities were compared among the three groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Optimal 1:1 matching was used to form pairs of RT (<jats:italic>n<\/jats:italic> =36) and PC (<jats:italic>n<\/jats:italic> =36) groups and balance baseline characteristics among the three groups. The incidence rates of pneumothorax were 5.6% (2\/36), 9.8% (5\/51), and 19.4% (7\/36) in the RT, OT, and PC groups, respectively (<jats:italic>P<\/jats:italic> = 0.07). Chest tube reinsertion incidence for postoperative pneumothorax was 19.4% (1\/7) in the PC group and 60% (3\/5) in the OT group. Other postoperative complications were comparable among these groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prophylactic air\u2010extraction strategy may be an alternative procedure for selected patients. Remedial air extraction may reduce the occurrence of chest tube reinsertion for pneumothorax patients, but further investigation is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.12850","type":"journal-article","created":{"date-parts":[[2018,9,6]],"date-time":"2018-09-06T07:09:25Z","timestamp":1536217765000},"page":"1406-1412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Prophylactic air\u2010extraction strategy after thoracoscopic wedge resection"],"prefix":"10.1111","volume":"9","author":[{"given":"Jia\u2010Tao","family":"Zhang","sequence":"first","affiliation":[{"name":"The Second School of Clinical Medicine Southern Medical University  Guangzhou China"},{"name":"Guangdong Lung Cancer Institute, Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010Chun","family":"Tang","sequence":"additional","affiliation":[{"name":"The Second School of Clinical Medicine Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010Tao","family":"Lin","sequence":"additional","affiliation":[{"name":"Guangdong Lung Cancer Institute, Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Song","family":"Dong","sequence":"additional","affiliation":[{"name":"Guangdong Lung Cancer Institute, Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou 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 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng\u2010Wei","family":"Wen","sequence":"additional","affiliation":[{"name":"Demonstration Ward of Enhanced Recovery After Surgery Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Wu","sequence":"additional","affiliation":[{"name":"Demonstration Ward of Enhanced Recovery After Surgery Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue\u2010Ning","family":"Yang","sequence":"additional","affiliation":[{"name":"Guangdong Lung Cancer Institute, Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer Guangdong General Hospital and Guangdong Academy of Medical Sciences  Guangzhou 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