{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:08:45Z","timestamp":1788847725313,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pneumonectomy remains a rare trauma procedure due to its high morbidity and mortality. While previous studies suggest that right-sided pneumonectomy is associated with a higher mortality in patients with lung cancer, there are scarce data in trauma. We aimed to compare patient outcomes following right-sided and left-sided pneumonectomy after trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective cohort study using the American College of Surgeons Trauma Quality Improvement Program (ACS-TQIP) database (2016-2022). Trauma patients (age \u226516 years) who underwent pneumonectomy were included and stratified by the laterality of pneumonectomy. Patient baseline characteristics, injury profile, and clinical outcomes were compared between the right- and left-sided pneumonectomy groups. Multivariable analysis was performed to evaluate the association between the laterality of pneumonectomy and in-hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 301 patients were included. The median age was 30 years, and 85.3% were male. Of those, 137 patients (45.5%) underwent right-sided pneumonectomy. Admission vital signs and Injury Severity Score were comparable between the right- and left-sided groups. Extracorporeal membrane oxygenation (ECMO) was used more frequently in right-sided pneumonectomy patients (8.8% vs 2.4%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.015). In-hospital mortality following right- and left-sided pneumonectomy was 54.0% and 48.2%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.313). In the multivariable logistic regression, right-sided pneumonectomy was not associated with increased odds of in-hospital mortality (adjusted odds ratio: 1.137, confidence interval: 0.641-2.015,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.662).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that the laterality of pneumonectomy was not associated with an increased risk of in-hospital mortality. Future research should evaluate the utility of ECMO in trauma patients requiring pneumonectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261443335","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:09:46Z","timestamp":1776262186000},"page":"2736-2743","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Right-Sided Versus Left-Sided Pneumonectomy in Trauma: A Nationwide Analysis"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8885-1683","authenticated-orcid":false,"given":"Negar","family":"Nekooei","sequence":"first","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5972-3906","authenticated-orcid":false,"given":"Delbrynth P.","family":"Mitchao","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0196-7171","authenticated-orcid":false,"given":"C. Isabella","family":"Bent","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Ashbrook","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemp","family":"Anderson","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron A.","family":"Ghafil","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Aiolfi","sequence":"additional","affiliation":[{"name":"University of Southern California"},{"name":"University of Milan, Istituto Clinico Sant\u2019Ambrogio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Harano","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Inaba","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9625-5363","authenticated-orcid":false,"given":"Kazuhide","family":"Matsushima","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.05.009"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198803000-00002"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199604000-00012"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.08.013"},{"issue":"11","key":"e_1_3_4_6_2","first-page":"967","article-title":"Survival after trauma pneumonectomy: the pathophysiologic balance of shock resuscitation with right heart failure","volume":"62","author":"Baumgartner F","year":"1996","unstructured":"Baumgartner F, Omari B, Lee J, et al. 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