{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T19:07:36Z","timestamp":1778872056199,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"20","license":[{"start":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T00:00:00Z","timestamp":1630627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative air leaks are a common complication after lung surgery. They are associated with prolonged hospital stay, increased postoperative pain and treatment costs. The treatment of prolonged air leaks remains controversial. Several treatments have been proposed including different types of sealants, chemical pleurodesis, or early surgical intervention. The aim of this review was to analyze the impact of autologous blood pleurodesis in a systematic way.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review of the literature was conducted until July 2020. Studies with more than five adult patients undergoing lung resections were included. Studies in patients receiving blood pleurodesis for pneumothorax were excluded. The search strategy included proper combinations of the MeSH terms \u201cair leak\u201d, \u201cblood transfusion\u201d and \u201clung surgery\u201d.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten studies with a total of 198 patients were included in the analysis. The pooled success rate for sealing the air leak within 48\u2009h of the blood pleurodesis was 83.7% (95% CI: 75.7; 90.3). The pooled incidence of the post\u2010interventional empyema was 1.5%, with a pooled incidence of post\u2010interventional fever of 8.6%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current evidence supports the idea that autologous blood pleurodesis leads to a faster healing of postoperative air leaks than conservative treatment. The complication rate is very low. Formal recommendations on how to perform the procedure are not possible with the current evidence. A randomized controlled trial in the modern era is necessary to confirm the benefits.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14138","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T10:10:10Z","timestamp":1630663810000},"page":"2648-2654","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Autologous blood pleurodesis for the treatment of postoperative air leaks. A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4363-7047","authenticated-orcid":false,"given":"Ioannis","family":"Karampinis","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery, Academic Thoracic Center Mainz University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"},{"name":"Division of Thoracic Surgery Royal Brompton Hospital, The Royal Brompton and Harefield NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Galata","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Academic Thoracic Center Mainz University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Arani","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Academic Thoracic Center Mainz University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Grilli","sequence":"additional","affiliation":[{"name":"Department of Library and Information Sciences, Medical Faculty Mannheim University Medical Center Mannheim, Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svetlana","family":"Hetjens","sequence":"additional","affiliation":[{"name":"Medical Faculty Mannheim Institute of Medical Statistic and Biomathematics, University Medical Center Mannheim, Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Shackcloth","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Liverpool Heart and Chest Hospital  Liverpool 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