{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:17:46Z","timestamp":1777576666093,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"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":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Patients with post-tubercular sequelae often present with aspergilloma, bronchiectasis, or dense fibrosis, despite adequate medical therapy, making it the most challenging subset for thoracic surgery. In our experience of 632 post-tubercular lung parenchymal sequelae cases, 17% demonstrated trans-fissural extension. Among various predictors of poor surgical outcomes, trans-fissural extension in post-tubercular sequelae was the critical determinant, showcasing the chronicity and aggressiveness of parenchymal involvement. It necessitated extended lobar resections, leading to longer operative time, more intra-operative blood loss, higher incidence of residual space, prolonged air leak, post-operative infected collections, and requirement of re-surgery (i.e. window thoracostomy or completion pneumonectomy) compared to patients with lobe limited disease. In this complex cohort, recognizing the trans-fissural extension preoperatively is necessary for risk stratification, operative planning, and adopting the preventive strategies to optimize the surgical outcomes.<\/jats:p>","DOI":"10.1177\/02184923261424929","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T10:07:28Z","timestamp":1771841248000},"page":"268-270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trans-fissural extension in post-tubercular lung parenchymal sequelae: A predictor of difficult surgery and poor outcomes"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6868-1477","authenticated-orcid":false,"given":"Mohan Venkatesh","family":"Pulle","sequence":"first","affiliation":[{"name":"Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhram","family":"Bishnoi","sequence":"additional","affiliation":[{"name":"Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Kumar","sequence":"additional","affiliation":[{"name":"Institute of Chest Surgery, Medanta, Gurugram, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-2113.209232"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa454"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.01.007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.05.082"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01334-X"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261424929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923261424929","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261424929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:29:06Z","timestamp":1777404546000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02184923261424929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,23]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/02184923261424929"],"URL":"https:\/\/doi.org\/10.1177\/02184923261424929","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,23]]}}}