Autologous blood pleurodesis for postoperative air leakage following video-assisted thoracoscopic surgery–a randomized controlled trial
Clicks: 2
ID: 330723
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Emerging Content
0.3
/100
2 views
1 readers
AI Quality Assessment
Not analyzed
Readership in this journal
EmergingRanked #46 of 49 articles by views in european journal of cardio-thoracic surgery : official journal of the european association for cardio-thoracic surgery
Most read
Least read
Bar heights use a square-root scale.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Objectives Postoperative air leakage following lung surgery prolongs chest drainage duration and length of hospitalization and the evidence regarding treatment with autologous blood pleurodesis (ABP) is scarce. We decided to investigate if ABP would influence postoperative air leakage when used on the first postoperative day following elective video-assisted thoracoscopic surgery (VATS). Methods In this multicenter randomized controlled trial, patients with an air leakage greater than 40 ml/min during cough and mobilization on their first postoperative day following elective VATS were randomized 1:1 to standard chest drain management with or without ABP (stratified by lobectomy or wedge resection). The chest drain was removed after standardized digital drainage criteria, and the primary endpoint was time to chest drain removal. Patients with persistent air leakage beyond postoperative day 7 were censored to allow for individualized management. Results A total of 268 patients were randomized (134 in each group), after lobectomy (n = 238) or wedge (n = 30). Median chest drain duration was 3.4 days (95% CI 3.0–4.9) in the ABP group versus 5.0 days (95% CI 4.0–6.8) in the control group (p = 0.007). By postoperative day 7, chest drains had been removed in 74% versus 62% of patients, respectively. ABP significantly increased the rate of chest drain removal (HR 1.49, 95% CI 1.11–2.01; p = 0.007). The treatment effect was consistent across both participating centers. Conclusion Early autologous blood pleurodesis significantly shortens chest drain duration in patients with postoperative air leakage following VATS. This simple and low-cost intervention should be considered in Enhanced Recovery After Surgery protocols after thoracic surgery.
| Reference Key |
openalex_W7203956568
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Finn Amundsen Dittberner, Thomas Decker Christensen, Peter Bjørn Licht |
| Journal | european journal of cardio-thoracic surgery : official journal of the european association for cardio-thoracic surgery |
| Year | 2026 |
| DOI |
10.1093/ejcts/ezag235
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.