ArticleMedical devices (Auckland, N.Z.)2020
The Impact of Endoscopic Stapler Selection on Bleeding at the Vascular Stump in Pulmonary Artery Transection.
Article in Medical devices (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Efficacy and safety of PuraStatSurgery today · 2026Article
- 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
- Evaluation of automatic staplers for renal artery division in laparoscopic donor nephrectomy: impact of vessel diameter on hemostatic outcomes.Surgical endoscopy · 2025Article
- Manual slow firing mode of Signia™ Stapling System can achieve less staple line bleeding from pulmonary artery.Journal of thoracic disease · 2025Article
- A real-world study evaluating the safety and utility of a two-row stapler reload on pulmonary vasculature.Journal of thoracic disease · 2024Article
- Powered stapling system with gripping surface technology for pulmonary resection of lung cancer: real-world clinical effectiveness.Cost effectiveness and resource allocation : C/E · 2022Article
- Commentary: How did that happen?JTCVS techniques · 2022Article
- Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study.Medical devices (Auckland, N.Z.) · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess bleeding following transection of the pulmonary artery with powered and manual endoscopic staplers.
methodsCases of video-assisted and open-chest thoracic surgical procedures for non-small cell lung cancer at Ishikawa Prefectural Central Hospital were reviewed between 2012 and 2018. Three stapler groups were assessed: Group 1 - Ethicon ECHELON FLEX
resultsOf 239 patients, 82 cases (34.3%) were Group 1, 94 cases (39.3%) were Group 2 and 63 cases (26.4%) were Group 3. Mean age was 68.3 years (range 36-88 years), and most patients received video-assisted right upper lobectomy (82.8%). Bleeding occurred in 24 cases: 17 (70.8%) in Group 2 and 7 (29.2%) cases in Group 3. No bleeding occurred in Group 1. The loaded ECHELON FLEX
conclusionAn excessively narrow gap between cartridge and anvil may damage the blood vessel wall and lead to bleeding following transection. This study provides preliminary evidence that the use of the ECHELON FLEX
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