{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T03:56:20Z","timestamp":1776138980889,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare leakage pressure and ligation time of bronchial sealing using barbed sutures, stapling devices, or traditional sutures during total lung lobectomy in dogs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Experimental ex vivo study with randomized order of procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample population<\/jats:title>\n                    <jats:p>A total of 30 lung lobes from five canine cadavers weighing 10\u201313\u2009kg.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The lobe samples were randomly allocated to the stapling device (ST), traditional suture ligation (TR), or barbed suture ligation (BA) group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910 each). Bronchial ligation time was recorded for each procedure. Each bronchial stump was tested for air leakage for pressures up to 80\u2009cmH\n                      <jats:sub>2<\/jats:sub>\n                      O.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median air leakage pressure was 45.0 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O (range: 30.0\u201380.0) for the ST, 47.5 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O (range: 36.0\u201380.0) for the TR, and 57.5 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O (range: 25.0\u201380.0) for the BA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.36). No group showed leakage at physiological airway pressures (&lt;\u200920 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O). At pressures up to 80 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O, leakage was observed in nine of 10 bronchial stumps in the ST, eight of 10 in the TR, and six of 10 in the BA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.43). The mean bronchial ligation time was 2.4\u2009\u00b1\u20090.5\u2009min for the ST, 14.1\u2009\u00b1\u20093.4\u2009min for the TR and 10.7\u2009\u00b1\u20091.6\u2009min for the BA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Barbed sutures for bronchial closure provided comparable leakage pressure to stapling devices and traditional sutures and reduced suturing time compared to traditional sutures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>Barbed suture ligation might be a viable alternative for canine total lung lobectomy.<\/jats:p>\n                  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