PMID- 24200667
OWN - NLM
STAT- MEDLINE
DCOM- 20150623
LR  - 20190608
IS  - 2186-1005 (Electronic)
IS  - 1341-1098 (Linking)
VI  - 20
IP  - 5
DP  - 2014
TI  - Adverse events of lung tissue stapling in thoracic surgery.
PG  - 370-7
AB  - PURPOSE: The use of staplers for thoracic surgery has been regarded as a safe 
      procedure though sometimes adverse events (AEs) of stapling are experienced. The 
      aim of this study is to analyze AEs of lung tissue stapling. METHODS: A 
      retrospective multi-institutional review was conducted by 27 institutions of the 
      Central Japan Lung Cancer Surgery Study Group. During the research period, lung 
      tissue stapling was performed 10908 times. RESULTS: Total number of AEs related 
      to stapling was 81 (0.74%). Seventy events occurred intraoperatively and 11 
      events occurred postoperatively. Intraoperative stapling AEs were air leakage (n 
      = 26), laceration of the adjacent lung tissue (n = 23), stapling failure (n = 
      14), oozing (n = 4), and others (n = 3). The postoperative AEs were prolonged air 
      leakage (n = 9), bleeding from the chest wall (n = 1), and postoperative bleeding 
      (n = 1). Only one case died of acute exacerbation of interstitial pneumonia which 
      was induced after completion lobectomy to cure postoperative bleeding. No 
      relationship was seen between the incidence of AE and cartridge colors or 
      compression types of staplers except the length of cartridges. CONCLUSION: Lung 
      tissue stapling in thoracic surgery was safe. The most frequent cause of AEs was 
      stapler-tissue thickness mismatch. The appropriate selection of the cartridge 
      color may decrease the AE incidence of the lung tissue stapling.
FAU - Yano, Motoki
AU  - Yano M
AD  - Department of Oncology, Immunology and Surgery, Nagoya City University Graduate 
      School of Medical Sciences, Nagoya, Aichi, Japan.
FAU - Iwata, Hisashi
AU  - Iwata H
FAU - Hashizume, Masahiro
AU  - Hashizume M
FAU - Shigemitsu, Kikuo
AU  - Shigemitsu K
FAU - Adachi, Katsutoshi
AU  - Adachi K
FAU - Tokui, Toshiya
AU  - Tokui T
FAU - Matsuyama, Takaaki
AU  - Matsuyama T
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20131108
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Equipment Design
MH  - Humans
MH  - Japan
MH  - Lung/*surgery
MH  - Postoperative Complications/*etiology/mortality
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Surgical Staplers
MH  - Surgical Stapling/*adverse effects/instrumentation/mortality
MH  - Thoracic Surgical Procedures/*adverse effects/instrumentation/mortality
MH  - Treatment Outcome
EDAT- 2013/11/10 06:00
MHDA- 2015/06/24 06:00
CRDT- 2013/11/09 06:00
PHST- 2013/11/09 06:00 [entrez]
PHST- 2013/11/10 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
AID - DN/JST.JSTAGE/atcs/oa.13-00161 [pii]
AID - 10.5761/atcs.oa.13-00161 [doi]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2014;20(5):370-7. doi: 10.5761/atcs.oa.13-00161. Epub 
      2013 Nov 8.