Application standard of mechanical suture technique in thoracoscopic surgery and management of complications_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIE Dong , SHE Yunlang , SU Hang , NING Ye , LI Zhixin , FAN Ziwen , ZHU Yuming ,  CHEN Chang , JIANG Gening

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, P.R.China;

Corresponding?author：

CHEN Chang, Email: chenthoracic@163.com

Keywords：

Pulmonary surgery; thoracoscopic surgery; mechanical suture technique; complications; surgical treatment

DOI：

10.7507/1007-4848.201910064

Video：

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The precise resection and suture of bronchia, vascular and pulmonary tissue are the key techniques in thoracic surgery. Mechanical suture technique has gradually become a routine operation in thoracic surgery. However, at present, there is still a lack of consensus and guidelines on the application of this technique in thoracic surgery, neither strong evidence-based medical support. In this study, we discuss the application standard of mechanical suture technique in thoracoscopic surgery, irregular treatment techniques, intraoperative complications, and management principles to promote the standardized application of mechanical suture technique. We also explain the shortcomings of the technique in order to promote the further improvement and perfection.

Citation： XIE Dong, SHE Yunlang, SU Hang, NING Ye, LI Zhixin, FAN Ziwen, ZHU Yuming, CHEN Chang, JIANG Gening. Application standard of mechanical suture technique in thoracoscopic surgery and management of complications. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 732-736. doi: 10.7507/1007-4848.201910064 Copy

1.	劉彥國, 王俊, 李運, 等. 內鏡用直線切割縫合器在全胸腔鏡肺葉切除術中的應用. 中國胸心血管外科臨床雜志, 2008, 15(5): 321-324.
2.	Sato M, Murayama T, Nakajima J. Techniques of stapler-based navigational thoracoscopic segmentectomy using virtual assisted lung mapping (VAL-MAP). J Thorac Dis, 2016, 8(Suppl 9): S716-S730.
3.	吳衛兵, 陳亮, 朱全, 等. 直線切割縫合器引導管在全胸腔鏡肺葉、肺段切除中的應用. 中國胸心血管外科臨床雜志, 2012, 19(6): 638-641.
4.	Pardolesi A, Veronesi G. Robot-assisted lung anatomic segmentectomy: technical aspects. Thorac Surg Clin, 2014, 24(2): 163-168.
5.	徐廣文, 熊燃, 吳漢然, 等. 單孔和三孔胸腔鏡手術對肺癌患者術后近期生活質量影響的比較研究. 中華外科雜志, 2018, 56(6): 452-457.
6.	De La Torre M, González-Rivas D, Fernández R, et al. Uniportal VATS lobectomy. Minerva Chir, 2016, 71(1): 46-60.
7.	謝冬, 陳昶, 朱余明, 等. 單孔胸腔鏡手術的現狀與展望. 中華腔鏡外科雜志 (電子版), 2016, 9(2): 73-76.
8.	熊燃, 徐廣文, 吳漢然, 等. 單孔胸腔鏡肺葉切除術治療可切除肺癌的學習曲線研究. 中華外科雜志, 2018, 56(6): 447-451.
9.	Gonzalez-Rivas D. Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections. Ann Cardiothorac Surg, 2016, 5(2): 85-91.
10.	趙玉沛, 張太平. 消化道重建基本原則與基本技術. 中國實用外科雜志, 2014, 34(3): 6-13.
11.	中華醫學會外科學分會胃腸外科學組, 中國抗癌協會胃癌專業委員會. 胃癌手術消化道重建機械吻合專家共識. 中國實用外科雜志, 2015, 35(6): 584-592.
12.	Nakayama S, Hasegawa S, Nagayama S, et al. The importance of precompression time for secure stapling with a linear stapler. Surg Endosc, 2011, 25(7): 2382-2386.
13.	Shimizu N, Tanaka Y, Okamoto T, et al. How to prevent adverse events of vascular stapling in thoracic surgery: recommendations based on a clinical and experimental study. J Thorac Dis, 2018, 10(12): 6466-6471.
14.	Jiang L, Wu L, Roque S R, et al. A novel tourniquet technique for transient pulmonary artery occlusion during video-assisted thoracoscopic surgery. J Thorac Cardiovasc Surg, 2018, 156(2): 816-818.
15.	Flores RM, Ihekweazu U, Dycoco J, et al. Video-assisted thoracoscopic surgery (VATS) lobectomy: catastrophic intraoperative complications. J Thorac Cardiovasc Surg, 2011, 142(6): 1412-1417.
16.	Miyoshi R, Nishikawa S, Tamari S, et al. Pulmonary vein thrombosis after lobectomy with vein stump closure by ligation. Asian Cardiovasc Thorac Ann, 2018, 26(7): 546-551.
17.	張振龍, 潘小杰, 歐德彬. 胸腔鏡肺葉切除術中血管損傷出血的原因及處理. 中國微創外科雜志, 2019, 19(2): 111-114.
18.	Villa M, Sarkaria IS. Great vessel injury in thoracic surgery. Thorac Surg Clin, 2015, 25(3): 261-278.
19.	Yano M, Takao M, Fujinaga T, et al. Adverse events of pulmonary vascular stapling in thoracic surgery. Interact Cardiovasc Thorac Surg, 2013, 17(2): 280-284.
20.	Scarci M, Gonzalez-Rivas D, Schmidt J, et al. Management of intraoperative difficulties during uniportal video-assisted thoracoscopic surgery. Thorac Surg Clin, 2017, 27(4): 339-346.
21.	Berry MF. Pulmonary artery bleeding during video-assisted thoracoscopic surgery: intraoperative bleeding and control. Thorac Surg Clin, 2015, 25(3): 239-247.
22.	Dunning J, Walker WS. Pulmonary artery bleeding caused during VATS lobectomy. Ann Cardiothorac Surg, 2012, 1(1): 109-110.
23.	Wu CF, De La Mercedes T, Fernandez R, et al. Management of intra-operative major bleeding during single-port video-assisted thoracoscopic anatomic resection: two-center experience. Surg Endosc, 2019, 33(6): 1880-1889.
24.	Xiao ZL, Mei JD, Pu Q, et al. Technical strategy for dealing with bleeding during thoracoscopic lung surgery. Ann Cardiothorac Surg, 2014, 3(2): 213-215.
25.	Nakamura H. Systematic review of published studies on safety and efficacy of thoracoscopic and robot-assisted lobectomy for lung cancer. Ann Thorac Cardiovasc Surg, 2014, 20(2): 93-98.
26.	Guido GW, Gonzalez-Rivas D, Hernandez Arenas LA, et al. Techniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS. J Vis Surg, 2016, 2: 23.
27.	Guo C, Mei J, Ma L, et al. Handling vascular bleeding without conversion during video-assisted thoracoscopic surgery major pulmonary resection. Ann Transl Med, 2018, 6(18): 10.
28.	Hanna JM, Berry MF, D'amico TA. Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open. J Thorac Dis, 2013, 5(Suppl 3): S182-S189.
29.	Yim AP, Ho JK. Malfunctioning of vascular staple cutter during thoracoscopic lobectomy. J Thorac Cardiovasc Surg, 1995, 109(6): 1252.
30.	Craig SR, Walker WS. Potential complications of vascular stapling in thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 59(3): 736-738.
31.	Brown SL, Woo EK. Surgical stapler-associated fatalities and adverse events reported to the Food and Drug Administration. J Am Coll Surg, 2004, 199(3): 374-381.
32.	Yamashita SI, Tokuishi K, Moroga T, et al. Totally thoracoscopic surgery and troubleshooting for bleeding in non-small cell lung cancer. Ann Thorac Surg, 2013, 95(3): 994-999.
33.	Nakamura Y, Iwazaki M, Watanabe R, et al. Pulmonary inflammatory pseudotumor observed by bronchoscopy and resected using video-assisted thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(4): 234-237.
34.	Samson P, Guitron J, Reed MF, et al. Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomography-based calcification assessment. J Thorac Cardiovasc Surg, 2013, 145(6): 1512-1518.
35.	Qu J, Chen G, Xie B, et al. Progressive chest wall bleeding caused by bronchial stump nails after lobectomy. Thorac Cardiovasc Surg, 2015, 63(1): 77-79.
36.	劉連新, 尹大龍. 機械性吻合閉合技術在肝膽胰外科中的應用. 中華消化外科雜志, 2012, 11(1): 38-40.
37.	Pearlstein DP. Robotic lobectomy utilizing the robotic stapler. Ann Thorac Surg, 2016, 102(6): e591-e593.

1. 劉彥國, 王俊, 李運, 等. 內鏡用直線切割縫合器在全胸腔鏡肺葉切除術中的應用. 中國胸心血管外科臨床雜志, 2008, 15(5): 321-324.
2. Sato M, Murayama T, Nakajima J. Techniques of stapler-based navigational thoracoscopic segmentectomy using virtual assisted lung mapping (VAL-MAP). J Thorac Dis, 2016, 8(Suppl 9): S716-S730.
3. 吳衛兵, 陳亮, 朱全, 等. 直線切割縫合器引導管在全胸腔鏡肺葉、肺段切除中的應用. 中國胸心血管外科臨床雜志, 2012, 19(6): 638-641.
4. Pardolesi A, Veronesi G. Robot-assisted lung anatomic segmentectomy: technical aspects. Thorac Surg Clin, 2014, 24(2): 163-168.
5. 徐廣文, 熊燃, 吳漢然, 等. 單孔和三孔胸腔鏡手術對肺癌患者術后近期生活質量影響的比較研究. 中華外科雜志, 2018, 56(6): 452-457.
6. De La Torre M, González-Rivas D, Fernández R, et al. Uniportal VATS lobectomy. Minerva Chir, 2016, 71(1): 46-60.
7. 謝冬, 陳昶, 朱余明, 等. 單孔胸腔鏡手術的現狀與展望. 中華腔鏡外科雜志 (電子版), 2016, 9(2): 73-76.
8. 熊燃, 徐廣文, 吳漢然, 等. 單孔胸腔鏡肺葉切除術治療可切除肺癌的學習曲線研究. 中華外科雜志, 2018, 56(6): 447-451.
9. Gonzalez-Rivas D. Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections. Ann Cardiothorac Surg, 2016, 5(2): 85-91.
10. 趙玉沛, 張太平. 消化道重建基本原則與基本技術. 中國實用外科雜志, 2014, 34(3): 6-13.
11. 中華醫學會外科學分會胃腸外科學組, 中國抗癌協會胃癌專業委員會. 胃癌手術消化道重建機械吻合專家共識. 中國實用外科雜志, 2015, 35(6): 584-592.
12. Nakayama S, Hasegawa S, Nagayama S, et al. The importance of precompression time for secure stapling with a linear stapler. Surg Endosc, 2011, 25(7): 2382-2386.
13. Shimizu N, Tanaka Y, Okamoto T, et al. How to prevent adverse events of vascular stapling in thoracic surgery: recommendations based on a clinical and experimental study. J Thorac Dis, 2018, 10(12): 6466-6471.
14. Jiang L, Wu L, Roque S R, et al. A novel tourniquet technique for transient pulmonary artery occlusion during video-assisted thoracoscopic surgery. J Thorac Cardiovasc Surg, 2018, 156(2): 816-818.
15. Flores RM, Ihekweazu U, Dycoco J, et al. Video-assisted thoracoscopic surgery (VATS) lobectomy: catastrophic intraoperative complications. J Thorac Cardiovasc Surg, 2011, 142(6): 1412-1417.
16. Miyoshi R, Nishikawa S, Tamari S, et al. Pulmonary vein thrombosis after lobectomy with vein stump closure by ligation. Asian Cardiovasc Thorac Ann, 2018, 26(7): 546-551.
17. 張振龍, 潘小杰, 歐德彬. 胸腔鏡肺葉切除術中血管損傷出血的原因及處理. 中國微創外科雜志, 2019, 19(2): 111-114.
18. Villa M, Sarkaria IS. Great vessel injury in thoracic surgery. Thorac Surg Clin, 2015, 25(3): 261-278.
19. Yano M, Takao M, Fujinaga T, et al. Adverse events of pulmonary vascular stapling in thoracic surgery. Interact Cardiovasc Thorac Surg, 2013, 17(2): 280-284.
20. Scarci M, Gonzalez-Rivas D, Schmidt J, et al. Management of intraoperative difficulties during uniportal video-assisted thoracoscopic surgery. Thorac Surg Clin, 2017, 27(4): 339-346.
21. Berry MF. Pulmonary artery bleeding during video-assisted thoracoscopic surgery: intraoperative bleeding and control. Thorac Surg Clin, 2015, 25(3): 239-247.
22. Dunning J, Walker WS. Pulmonary artery bleeding caused during VATS lobectomy. Ann Cardiothorac Surg, 2012, 1(1): 109-110.
23. Wu CF, De La Mercedes T, Fernandez R, et al. Management of intra-operative major bleeding during single-port video-assisted thoracoscopic anatomic resection: two-center experience. Surg Endosc, 2019, 33(6): 1880-1889.
24. Xiao ZL, Mei JD, Pu Q, et al. Technical strategy for dealing with bleeding during thoracoscopic lung surgery. Ann Cardiothorac Surg, 2014, 3(2): 213-215.
25. Nakamura H. Systematic review of published studies on safety and efficacy of thoracoscopic and robot-assisted lobectomy for lung cancer. Ann Thorac Cardiovasc Surg, 2014, 20(2): 93-98.
26. Guido GW, Gonzalez-Rivas D, Hernandez Arenas LA, et al. Techniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS. J Vis Surg, 2016, 2: 23.
27. Guo C, Mei J, Ma L, et al. Handling vascular bleeding without conversion during video-assisted thoracoscopic surgery major pulmonary resection. Ann Transl Med, 2018, 6(18): 10.
28. Hanna JM, Berry MF, D'amico TA. Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open. J Thorac Dis, 2013, 5(Suppl 3): S182-S189.
29. Yim AP, Ho JK. Malfunctioning of vascular staple cutter during thoracoscopic lobectomy. J Thorac Cardiovasc Surg, 1995, 109(6): 1252.
30. Craig SR, Walker WS. Potential complications of vascular stapling in thoracoscopic pulmonary resection. Ann Thorac Surg, 1995, 59(3): 736-738.
31. Brown SL, Woo EK. Surgical stapler-associated fatalities and adverse events reported to the Food and Drug Administration. J Am Coll Surg, 2004, 199(3): 374-381.
32. Yamashita SI, Tokuishi K, Moroga T, et al. Totally thoracoscopic surgery and troubleshooting for bleeding in non-small cell lung cancer. Ann Thorac Surg, 2013, 95(3): 994-999.
33. Nakamura Y, Iwazaki M, Watanabe R, et al. Pulmonary inflammatory pseudotumor observed by bronchoscopy and resected using video-assisted thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(4): 234-237.
34. Samson P, Guitron J, Reed MF, et al. Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomography-based calcification assessment. J Thorac Cardiovasc Surg, 2013, 145(6): 1512-1518.
35. Qu J, Chen G, Xie B, et al. Progressive chest wall bleeding caused by bronchial stump nails after lobectomy. Thorac Cardiovasc Surg, 2015, 63(1): 77-79.
36. 劉連新, 尹大龍. 機械性吻合閉合技術在肝膽胰外科中的應用. 中華消化外科雜志, 2012, 11(1): 38-40.
37. Pearlstein DP. Robotic lobectomy utilizing the robotic stapler. Ann Thorac Surg, 2016, 102(6): e591-e593.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application standard of mechanical suture technique in thoracoscopic surgery and management of complications

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