{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:01:10Z","timestamp":1768550470384,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"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":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We evaluated the safety and feasibility of one\u2010lung ventilation in obese patients undergoing thoracoscopic lobectomy and whether obesity affected peri\u2010 and postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective single center study including consecutive patients undergoing thoracoscopic lobectomy between October 2019 and February 2022. Obese patients were statistically compared to a control group to evaluate any differences in relation to one\u2010lung ventilation and peri\u2010 and postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our study population included 111 patients; of these, 26 (23%) were included in the obese group, while 85 (77%) were included within the nonobese group. To obtain one\u2010lung ventilation in nonobese patients, a double\u2010lumen tube was more frequently used than a single\u2010lumen tube with bronchial blocker (61% vs. 39%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02), while in obese patients a single\u2010lumen tube with bronchial blocker was used more than a double\u2010lumen tube (81% vs. 19%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). Intergroup comparison showed that a double\u2010lumen tube was the preferred method in nonobese patients, while a single\u2010lumen tube with bronchial blockers was the strategy of choice in obese patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.0002). Intubation time was longer in the obese group than in the nonobese group (94.0\u2009\u00b1\u20096.1 vs. 85.0\u2009\u00b1\u20097.0\u00a0s; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0004) and failure rate of first attempt at intubation was higher in the obese group (23% vs. 5%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01). Obesity was not associated with increased intra\u2010, peri\u2010 and postoperative complications and\/or mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>One\u2010lung ventilation is a feasible and safe procedure also in obese patients and obesity did not negatively affect peri\u2010 and postoperative outcomes after lung resection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14747","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T22:49:30Z","timestamp":1670453370000},"page":"281-288","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["One\u2010lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer"],"prefix":"10.1111","volume":"14","author":[{"given":"Beatrice","family":"Leonardi","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit University of Campania Luigi Vanvitelli  Naples 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