Pitfalls related to the use of endostaplers during video-assisted thoracic surgery

Gossot, Dominique; Merlusca, Geoni; Tudor, Alexandre; Boudaya, Mohamed Sadok; Radu, Costin; Magdeleinat, Pierre

doi:10.1007/s00464-008-9765-7

Cited by 31 publications

(22 citation statements)

References 12 publications

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“…Its handling is not that easy, especially in patients with narrow or small chest cavity. Loading thick tissues can be tedious, as their opening is still limited, and disruption of the staple line can occur (21), an adverse event that we faced four times in our series. The consequences were minimal, but led to troublesome blood loss and required hand suturing.…”

Section: Other Issues Related With Staplingmentioning

confidence: 98%

Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?

Ojanguren¹,

Gossot²,

Seguin‐Givelet³

2016

J. Thorac. Dis.

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Background: Stapling is becoming the method of choice for dividing the intersegmental plane during thoracoscopic segmentectomies. The technique however is controversial as it can impair re-expansion of preserved segments. We have analyzed the morbidity and lung re-expansion on a series of 175 thoracoscopic segmentectomies. Methods: A total of 175 patients underwent a thoracoscopic anatomic segmentectomy. Ten patients were excluded due to conversion into thoracotomy. There were 89 females (54%) and 76 males (46%). Mean age was 63 years (range, 18-83 years). Indications for segmentectomy were as follows: primary lung cancer (n=100, 61%), metastases (n=27, 16%), benign non-infectious lesions (n=20, 12%) and benign infectious lesions (n=18, 11%). The intersegmental plane was divided with an endostapler in all patients. Lung re-expansion assessment included chest roentgenograms at discharge and at one-month consultation. Results: The overall complication rate was 17%. There were 0.6% major complications and 16% minor complications. The average duration of drainage was 3 days (range, 1-13 days) and average length of stay was 5.7 days (range, 2-22 days). At discharge and at 1-month follow-up chest radiography, incomplete lung re-expansion was observed in 12 (7.4%) and 4 patients (2.8%) respectively. Patients who underwent upper lobe segmentectomy had significantly more incomplete re-expansion at discharge and at 1-month follow-up.On univariate analysis, mean drainage duration was significantly longer in patients who underwent upper segmentectomy (mean 3.7 days; range, 1-13) than those who underwent lower segmentectomy (mean 2.7 days; range, 1-5). Conclusions: Although stapling of the intersegmental plane most likely slightly impairs lung re-expansion, clinical and radiological consequences are minimal.

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Section: Other Issues Related With Staplingmentioning

confidence: 98%

Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?

Ojanguren¹,

Gossot²,

Seguin‐Givelet³

2016

J. Thorac. Dis.

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“…The stapling failure rate and AE rate were similar to other reports. 5,6,8) In the present study, the incidence of AEs may be evaluated too few. Especially, the intraoperative air leakage from the pulmonary stamps or splinter points of the staples seems to be the most likely candidate.…”

Section: Discussionmentioning

confidence: 99%

“…5) The rate of AEs in stapling for pulmonary vessels seemed to be lower than for the pulmonary parenchyma or the bronchus. 8) We planned the present study to determine the rates of AEs rates of stapling in usual clinical settings.…”

Section: Discussionmentioning

confidence: 99%

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Adverse Events of Stapling in Thoracic Surgery: Relations between an Incidence of Adverse Events and a Stapling Volume

Yano

Sano

Kani

et al. 2014

ATCS

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“…Only a few papers have been published concerning stapling failure and other AEs of stapling. [4][5][6][7] Especially the detailed analysis of AEs of stapling of the lung tissue in a large number of patients has not been reported before. The aim of the present study was to analyze the intraoperative and postoperative AEs of stapling of the lung tissue in a multi-institutional retrospective study.…”

Section: Introductionmentioning

confidence: 99%

Adverse Events of Lung Tissue Stapling in Thoracic Surgery

Yano

Iwata

Hashizume

et al. 2014

ATCS

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Pitfalls related to the use of endostaplers during video-assisted thoracic surgery

Abstract: Although some adverse events are attributable to surgical errors, many are linked to the device. This underscores the need for improving staplers and evaluating new technologies.

Cited by 31 publications

References 12 publications

Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?

Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?

Adverse Events of Stapling in Thoracic Surgery: Relations between an Incidence of Adverse Events and a Stapling Volume

Adverse Events of Lung Tissue Stapling in Thoracic Surgery

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