ArticleJournal of thoracic disease2018
How to prevent adverse events of vascular stapling in thoracic surgery: recommendations based on a clinical and experimental study.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Evaluation of the utility of slow mode for pulmonary vessel resection using a surgical stapler in anatomical pulmonary resection: a prospective randomized controlled trial protocol.Journal of thoracic disease · 2026Article
- Risk factors for vascular oozing or bleeding following transection with automatic staplers during uniportal video-assisted thoracoscopic surgery.General thoracic and cardiovascular surgery · 2026Article
- Slow-firing mode reduces stump oozing during pulmonary vessel stapling.Journal of thoracic disease · 2025Article
- Comparison of clinical and economic outcomes among patients undergoing lung resection using ECHELONJournal of thoracic disease · 2025Article
- Manual slow firing mode of Signia™ Stapling System can achieve less staple line bleeding from pulmonary artery.Journal of thoracic disease · 2025Article
- Rupture of the staple suture site after stapling the right inferior pulmonary vein with double rows of staples: a case report.General thoracic and cardiovascular surgery cases · 2025Article
- A Comparative Effectiveness Study of Two Narrow-Profile Staplers Used in Video-assisted Thoracoscopic Lobectomy.Medical devices (Auckland, N.Z.) · 2025Article
- Factors affecting the short-term outcomes of robotic-assisted thoracoscopic surgery for lung cancer.Surgery today · 2024Article
- A real-world study evaluating the safety and utility of a two-row stapler reload on pulmonary vasculature.Journal of thoracic disease · 2024Article
- Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024Article
- Global Surgeon Opinion on the Impact of Surgical Access When Using Endocutters Across Specialties.Journal of health economics and outcomes research · 2023Article
- The Impact of Endoscopic Stapler Selection on Bleeding at the Vascular Stump in Pulmonary Artery Transection.Medical devices (Auckland, N.Z.) · 2020Article
- Time to remind old good principles.Journal of thoracic disease · 2019Article
- Use of staplers and adverse events in thoracic surgery.Journal of thoracic disease · 2019Article
- Establishment of a safe thoracoscopic surgery.Journal of thoracic disease · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvances in the development of staplers for pulmonary vessels have contributed to safe and convenient procedures in thoracic surgery. However, adverse events (AEs) can occur during vascular stapling and cause fatal hemorrhage. We aimed to assess the risk level of using the vessel stapling procedure to reduce such AEs.
methodsFirst, an animal experiment using pig cardiopulmonary blocks was conducted. Pulmonary arteries were closed with staplers under stressful conditions such as lifting or twisting; vessel stump endurance was analyzed through different methods. Second, AEs associated with clinical stapler use for pulmonary vessels were retrospectively reviewed by studying clinical videos of 263 patients.
resultsIn the animal experiment, the pressure resistance was significantly lower in the twisted group than in the no strain group (no strain
conclusionsThe pulmonary vessel stapling causes stress due to twisting and lifting that decreased stump durability. Avoiding such stress when using stapler for vessels leads to a safer thoracic surgery.
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