ArticleGeneral thoracic and cardiovascular surgery cases2025
Rupture of the staple suture site after stapling the right inferior pulmonary vein with double rows of staples: a case report.
Article in General thoracic and cardiovascular surgery cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Slow-firing mode reduces stump oozing during pulmonary vessel stapling.Journal of thoracic disease · 2025Article
- Efficacy of combined silk suture ligation and stapler versus stapler alone for vascular control in uniportal video-assisted thoracoscopic surgery lobectomy.Journal of thoracic disease · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith advancements in minimally invasive thoracic surgery techniques, such as video-assisted thoracoscopic surgery and robotic surgery, the design of vascular staplers has evolved to meet the requirements of these procedures. Consequently, newer generations of automatic staplers with improved handling and reduced size have been introduced, such as two-row staplers, which are more maneuverable and less bulky than their three-row counterparts. CASE PRESENTATION: A 68-year-old man with lung cancer underwent a right middle and lower lobectomy due to tumor invasion into the central middle bronchial trunk, rendering the preservation of the middle lobe impossible. His medical history included chronic atrial fibrillation. The surgery involved a posterolateral incision and a fifth intercostal thoracotomy, where various pulmonary arteries and veins were dissected using vascular staples. Despite completing the surgery without initial complications, the patient experienced significant postoperative bleeding, leading to approximately 800 mL of bloody fluid being drained after coughing episodes. Reoperation was necessary to address and control the bleeding, which was challenging due to the location and nature of the hemorrhage. The source was identified at the transected edge of the inferior pulmonary vein, requiring direct suture after pericardium incision for better access. The total operative time amounted to 751 min, with a blood loss of 2092 mL. The patient recovered smoothly from the second operation and was discharged on the fifth postoperative day. Histopathological examination revealed myocardial cell presence adjacent to the pulmonary vein wall, suggesting that vein thickening could have played a role in the observed postoperative bleeding.
conclusionsIn conclusion, when selecting staples for vascular use, particularly for the detachment of pulmonary veins, it is advisable to carefully choose between two-row and three-row staples.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.