https://www.frontiersin.org/journals/surgery/sections/thoracic-surgery RSS Feed for Thoracic Surgery section in the Frontiers in Surgery journal | New and Recent Articles en-us Frontiers Feed Generator,version:1 2026-05-13T04:48:31.15+00:00 60 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1838287 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1838287 2026-05-11T00:00:00Z Systematic Review Xinrui YinShijia Du https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734148 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734148 2026-04-28T00:00:00Z Original Research Domenico GalettaFederico ReaStefano MargaritoraAgostini VanessaFrancesco FaccioloFranca MelfiGianluca GugginoRoberto CrisciCollaborators and Participating Institutions 66%).ResultsOverall, a total of 49 (82%) participants scored the proposed statements. The consensus was reached in 35/39 issues (89.7%). Responders agreed (>90%) that medical (comorbidities, anticoagulant or antiplatelet therapies) and surgical factors (pleural adhesions, procedures on parietal pleura and chest wall resection) influenced BTS. Use of VIBeS has gained broad positive acceptance (>90%). Effects of BTS have achieved a broad positive consensus both for intraoperative and post-operative ones (surgeon stress, overall costs, length of operation, postoperative complications) (>73%). Modality of reduction and management of BTS (use of appropriate hemostatic products according to the coagulation status and VIBeS) has obtained a broad positive consensus.ConclusionsThe expert panel of Italian thoracic surgeons reached an agreement on the majority of issues of Delphi survey (factors, effects and management of BTS). The use of a VIBeS is recommended. In the absence of prospective and randomized studies on management of BTS, this document may be useful for reducing practice variation among thoracic surgeons facing intraoperative bleeding.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1812714 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1812714 2026-04-20T00:00:00Z Original Research Xinhe HuangZheng ZhuBaisheng XieKaifei ChenYue XieYi Zhu  0.05). IPL division was associated with a greater degree of postoperative bronchial angle change after left-sided surgery, reaching borderline significance at 3 months (68.1 ± 7.2° vs. 78.1 ± 7.8°, P = 0.046) and poorer 6-month outcomes, including smaller lung volume (3615 ± 475 mL vs. 3392 ± 489 mL, P = 0.027), a trend towards lower FEV1% (73.04 ± 9.36 vs. 69.06 ± 10.11, P = 0.049), lower DLCO (80.82 ± 10.35 vs. 76.06 ± 11.08, P = 0.033), and lower total LCQ-MC score (17.70 ± 1.72 vs. 16.98 ± 1.69, P = 0.042). No significant between-group differences were observed for other endpoints.ConclusionsIPL division did not demonstrate a clear benefit over IPL preservation. The findings suggest that IPL division may be associated with reduced postoperative lung volume, impaired recovery of diffusing capacity, greater displacement of the residual bronchus, and more severe chronic cough. However, particularly for outcomes with marginally significant P values, these results should be interpreted with caution due to multiple comparisons. These conclusions are hypothesis-generating and require confirmation in larger, prospective studies.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1843253 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1843253 2026-04-17T00:00:00Z Editorial Chengliang YangWenjun MaoÖmer Senbaklavaci https://www.frontiersin.org/articles/10.3389/fsurg.2026.1798894 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1798894 2026-04-15T00:00:00Z Original Research Fahim KananiIngrid GrebnevaDiego González RivasKhaled AotmanAnas SalhabRijini NugzarMordechai ShimonovFiras Abu Akar https://www.frontiersin.org/articles/10.3389/fsurg.2026.1772706 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1772706 2026-04-13T00:00:00Z Review Tongxin ZhengLei Chen https://www.frontiersin.org/articles/10.3389/fsurg.2026.1773128 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1773128 2026-04-13T00:00:00Z Original Research Xiangping ZhuKe XuXiaoyan FengRongsheng Xiong  0.05). The efficacy between the two groups showed no statistical significance (P > 0.05); however, the R0 was higher in the da Vinci robot group at 86.00% compared to 73.47% in the U-VATS group. There were no statistically significant differences in terms of surgical time, intraoperative blood loss, chest tube drainage, duration of drainage tube placement, and length of postoperative hospital stay between the two groups (P > 0.05). The da Vinci robot group had a higher number of lymph node dissections than the U-VATS group (P < 0.05). The incidence of postoperative complications showed no statistically significant difference between the two groups (P > 0.05). There were no cases of loss to follow-up among the 99 patients. The survival rate was 89.80% in the U-VATS group and 96.00% in the da Vinci robot group, with no statistical significance (P > 0.05).ConclusionCompared to U-VATS, da Vinci robot-assisted right upper lobectomy for early-stage NSCLC patients demonstrates similar safety and operability, with a significantly higher number of lymph node dissections. There were no significant differences in surgical time, intraoperative blood loss, postoperative chest tube drainage, duration of drainage tube placement, length of postoperative hospital stay, and incidence of postoperative lung infections between the two approaches.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1833090 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1833090 2026-04-01T00:00:00Z Editorial Takuya Fujita https://www.frontiersin.org/articles/10.3389/fsurg.2026.1767707 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1767707 2026-04-01T00:00:00Z Original Research Yan WangBin WangFang QiXiangnan LiJing Zhang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1774082 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1774082 2026-03-30T00:00:00Z Systematic Review Xiaojiao ZhuWenjun CaoChuan LongJianwei HanSuwei XuYingding Ruan https://www.frontiersin.org/articles/10.3389/fsurg.2026.1790499 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1790499 2026-03-26T00:00:00Z Original Research Yijun FanTingrui MeiLei LiuXiaoling GuYa GouLin JiangJingsi Dong https://www.frontiersin.org/articles/10.3389/fsurg.2026.1795630 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1795630 2026-03-25T00:00:00Z Original Research Zhenlin JiangZuxin DongJunting ChenJianhua Yan https://www.frontiersin.org/articles/10.3389/fsurg.2026.1803258 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1803258 2026-03-25T00:00:00Z Original Research Yuhui GongShiyu ShenJialiang LiuHaitao Huang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1749519 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1749519 2026-03-11T00:00:00Z Systematic Review Tao YuanMeiyuan PanYihan LuoDengke DuanShangdao Lai https://www.frontiersin.org/articles/10.3389/fsurg.2026.1780031 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1780031 2026-02-24T00:00:00Z Original Research Marta FuentesMaría Teresa Gómez-HernándezAndrea Peñaherrera CepedaCristina RivasJose Luis ArandaOscar ColmenaresMario ManamaFelipe Gómez-CamineroPilar TamayoMarcelo F. Jiménez https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734948 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734948 2026-02-17T00:00:00Z Systematic Review Anas B. BarnawiWaseem M. HajjarAdel D. AlmaymuniAmmar AlzahimOsama Thamer Al-AhmariBasim AlshahraniAbdulaziz AljanoubiLayan Rafat BukhariMuhanad Sultan AlsharariMeshari Abdulrahman Al-SahliAbdulmalik Abdulelah Bin KassimAldana Alodayani https://www.frontiersin.org/articles/10.3389/fsurg.2026.1742102 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1742102 2026-02-03T00:00:00Z Original Research Wu WeinianLi Yongjun 7 days, n = 47) and a non-prolonged drainage group (≤7 days, n = 138) based on postoperative chest tube duration. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for PPCTD.ResultsMultivariate analysis identified five independent risk factors for PPCTD: deep nodule resection (OR = 6.625, 95% CI: 2.512–17.469, P = 0.004), preoperative FEV1% < 70% (OR = 5.590, 95% CI: 1.987–15.728, P = 0.005), use of ≥4 stapler cartridges (OR = 4.775, 95% CI: 1.689–13.498, P = 0.012), intraoperative blood loss ≥250 mL (OR = 4.064, 95% CI: 1.421–11.623, P = 0.024), and preoperative anemia (OR = 3.434, 95% CI: 1.152–10.238, P = 0.033). A combined predictive model incorporating these factors demonstrated excellent discriminative ability (AUC = 0.892).ConclusionDeep nodule resection, impaired pulmonary function (FEV1% < 70%), extensive stapler use (≥4 cartridges), significant intraoperative blood loss (≥250 mL), and preoperative anemia are significant independent risk factors for PPCTD following uniportal VATS pulmonary resection. These findings highlight potential targets for preoperative optimization and refined surgical technique. However, the derived predictive model requires external validation in independent cohorts before it can be considered for routine clinical use.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1719816 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1719816 2026-02-03T00:00:00Z Original Research Ashley J. McCormackStephanie H. ChangDeane E. SmithTravis C. GeraciKatherine G. PhillipsRobert J. Cerfolio https://www.frontiersin.org/articles/10.3389/fsurg.2025.1749213 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1749213 2026-01-30T00:00:00Z Original Research Timon Marvin SchnabelMark SchierenCarlos Daniel Cardenas ArteroJerome DefosseMark Ulrich Gerbershagen 20 mbar), pMax (>25 mbar), and PEEP (>8 mbar) were significantly associated with increased complication and mortality rates. Patients receiving a TV > 5 mL/kg PBW also showed higher complication rates (p = .003). Respiratory complications occurred in 15.7% of patients and were strongly associated with higher DP, pMax, and OLV duration. Multivariate logistic regression identified OLV > 60 min and pMax >25 mbar as independent predictors of respiratory complications and overall complications.ConclusionIntraoperative ventilation parameters, particularly elevated DP, pMax and PEEP, have been demonstrated to be associated with an increased risk of complications and mortality in patients undergoing thoracic surgery with OLV. These findings lend support to the hypothesis that lung-protective ventilation strategies may improve perioperative outcomes.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2025.1755084 https://www.frontiersin.org/articles/10.3389/fsurg.2025.1755084 2026-01-21T00:00:00Z Systematic Review Rachid Eduardo Noleto da Nobrega OliveiraGuilherme Franceschini MachadoIsabella Cabianca Moriguchi Caetano SalvadorPaula Duarte D´AmbrosioLucas Monteiro DelgadoFelipe S. PassosTulio Caldonazo