Adverse Events of Lung Tissue Stapling in Thoracic Surgery

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概要

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• 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.

• Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文

著者

• Iwata Hisashi

  Department Of General And Cardiothoracic Surgery Graduate School Of Medicine Gifu University

• Yano Motoki

  Department Of Oncology Immunology And Surgery Nagoya City University Graduate School Of Medical Scie

• Tokui Toshiya

  Department Of Thoracic And Cardiovascular Surgery Anjo Kosei Hospital

• Matsuyama Takaaki

  Department Of Pathology National Cardiovascular Center

• Hashizume Masahiro

  Department Of International Community Health Graduate School Of Medicine The Tokyo University

• Adachi Katsutoshi

  Department Of Cardiovascular Surgery Shingu Municipal Medical Center

• Matsuyama Takaaki

  Department of Thoracic Surgery, Daido Hospital, Aichi, Japan

• Shigemitsu Kikuo

  Department of Thoracic Surgery, Ogaki Municipal Hospital, Gifu, Japan

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