PMID- 23633560
OWN - NLM
STAT- MEDLINE
DCOM- 20140220
LR  - 20220331
IS  - 1569-9285 (Electronic)
IS  - 1569-9293 (Print)
IS  - 1569-9285 (Linking)
VI  - 17
IP  - 2
DP  - 2013 Aug
TI  - Adverse events of pulmonary vascular stapling in thoracic surgery.
PG  - 280-4
LID - 10.1093/icvts/ivt130 [doi]
AB  - OBJECTIVES: The use of staplers for thoracic surgery has been widely accepted and 
      regarded as a safe procedure. However, adverse events (AEs) of stapling are 
      occasionally experienced. The aim of this retrospective study was to analyse the 
      AEs of stapling in pulmonary vascular surgery. METHODS: A retrospective 
      multi-institutional review was conducted by the 29 institutions of the Central 
      Japan Lung Cancer Surgery Study Group. All staplings of the pulmonary artery (PA) 
      and vein in thoracic surgery were reviewed during the research period. RESULTS: 
      Stapling of the PA and vein was performed 3393 times. The total number of AEs 
      related to stapling was nine (0.27%). Eight events occurred intraoperatively and 
      one occurred immediately after the operation. Intraoperative AE occurred more 
      frequently than postoperative AE. AE in the PA occurred more frequently than in 
      the pulmonary vein. The intraoperative AEs were oozing (n=3), stapling failure 
      (n=2), laceration of the peripheral vasculature at compression (n=2) and 
      technical injury of the vasculature at insertion (n=1). The causes of AEs were 
      reported to be tissue fragility (n=3), stapler rocking during stapling (n=2), 
      stapler-tissue thickness mismatch (n=2) and technical failure (n=1). The only 
      postoperative AE was staple line rupture of the PV stump. No relationship was 
      seen between the incidence of AE and cartridge colours, compression types of 
      staplers or numbers of staple lines. CONCLUSIONS: Generally, stapling of the 
      pulmonary vasculatures in recent thoracic surgery has been safe. Furthermore, the 
      knowledge of the possible risks of pulmonary vascular stapling may help to 
      decrease the AEs of stapling.
FAU - Yano, Motoki
AU  - Yano M
AD  - Department of Oncology, Immunology and Surgery, Nagoya City University Graduate 
      School of Medical Sciences, Nagoya, Japan. motoki@med.nagoya-cu.ac.jp
FAU - Takao, Motoshi
AU  - Takao M
FAU - Fujinaga, Takuji
AU  - Fujinaga T
FAU - Arimura, Takaaki
AU  - Arimura T
FAU - Fukai, Ichiro
AU  - Fukai I
FAU - Ota, Shinichiro
AU  - Ota S
FAU - Saito, Yushi
AU  - Saito Y
FAU - Okuda, Katsuhiro
AU  - Okuda K
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20130430
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Chi-Square Distribution
MH  - Equipment Design
MH  - Humans
MH  - Japan
MH  - Postoperative Complications/surgery
MH  - Pulmonary Artery/*surgery
MH  - Pulmonary Veins/*surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Surgical Staplers
MH  - Surgical Stapling/*adverse effects/instrumentation
MH  - Thoracic Surgical Procedures/*adverse effects
MH  - Time Factors
MH  - Treatment Outcome
PMC - PMC3715164
OTO - NOTNLM
OT  - Adverse event
OT  - Pulmonary artery
OT  - Pulmonary vein
OT  - Stapler
OT  - Stapling
EDAT- 2013/05/02 06:00
MHDA- 2014/02/22 06:00
PMCR- 2014/08/01
CRDT- 2013/05/02 06:00
PHST- 2013/05/02 06:00 [entrez]
PHST- 2013/05/02 06:00 [pubmed]
PHST- 2014/02/22 06:00 [medline]
PHST- 2014/08/01 00:00 [pmc-release]
AID - ivt130 [pii]
AID - 10.1093/icvts/ivt130 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):280-4. doi: 10.1093/icvts/ivt130. 
      Epub 2013 Apr 30.