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1
Prolonged air leak (PAL) is a common complication after uniportal video-assisted thoracic surgery (uVATS) segmentectomy, affecting 12.46% of patients in the study.
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2
The study developed machine learning models to predict PAL using clinical, surgical, and physiological variables from 610 patients undergoing uVATS segmentectomy.
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3
The XGBoost model demonstrated the highest performance for predicting PAL, achieving an AUC of 0.874 in the internal test set.
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Key predictive factors for PAL identified included low body mass index (BMI), prolonged operative time, reduced DLCO%, diabetes, and complex segmentectomy.
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The study emphasizes the need for external validation and prospective evaluation of machine learning models before clinical implementation.