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.	刘彦国, 王俊, 李运, 等. 内镜用直线切割缝合器在全胸腔镜肺叶切除术中的应用. 中国胸心血管外科临床杂志, 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.	吴卫兵, 陈亮, 朱全, 等. 直线切割缝合器引导管在全胸腔镜肺叶、肺段切除中的应用. 中国胸心血管外科临床杂志, 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.	徐广文, 熊燃, 吴汉然, 等. 单孔和三孔胸腔镜手术对肺癌患者术后近期生活质量影响的比较研究. 中华外科杂志, 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.	谢冬, 陈昶, 朱余明, 等. 单孔胸腔镜手术的现状与展望. 中华腔镜外科杂志 (电子版), 2016, 9(2): 73-76.
8.	熊燃, 徐广文, 吴汉然, 等. 单孔胸腔镜肺叶切除术治疗可切除肺癌的学习曲线研究. 中华外科杂志, 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.	赵玉沛, 张太平. 消化道重建基本原则与基本技术. 中国实用外科杂志, 2014, 34(3): 6-13.
11.	中华医学会外科学分会胃肠外科学组, 中国抗癌协会胃癌专业委员会. 胃癌手术消化道重建机械吻合专家共识. 中国实用外科杂志, 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.	张振龙, 潘小杰, 欧德彬. 胸腔镜肺叶切除术中血管损伤出血的原因及处理. 中国微创外科杂志, 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.	刘连新, 尹大龙. 机械性吻合闭合技术在肝胆胰外科中的应用. 中华消化外科杂志, 2012, 11(1): 38-40.
37.	Pearlstein DP. Robotic lobectomy utilizing the robotic stapler. Ann Thorac Surg, 2016, 102(6): e591-e593.

1. 刘彦国, 王俊, 李运, 等. 内镜用直线切割缝合器在全胸腔镜肺叶切除术中的应用. 中国胸心血管外科临床杂志, 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. 吴卫兵, 陈亮, 朱全, 等. 直线切割缝合器引导管在全胸腔镜肺叶、肺段切除中的应用. 中国胸心血管外科临床杂志, 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. 徐广文, 熊燃, 吴汉然, 等. 单孔和三孔胸腔镜手术对肺癌患者术后近期生活质量影响的比较研究. 中华外科杂志, 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. 谢冬, 陈昶, 朱余明, 等. 单孔胸腔镜手术的现状与展望. 中华腔镜外科杂志 (电子版), 2016, 9(2): 73-76.
8. 熊燃, 徐广文, 吴汉然, 等. 单孔胸腔镜肺叶切除术治疗可切除肺癌的学习曲线研究. 中华外科杂志, 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. 赵玉沛, 张太平. 消化道重建基本原则与基本技术. 中国实用外科杂志, 2014, 34(3): 6-13.
11. 中华医学会外科学分会胃肠外科学组, 中国抗癌协会胃癌专业委员会. 胃癌手术消化道重建机械吻合专家共识. 中国实用外科杂志, 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. 张振龙, 潘小杰, 欧德彬. 胸腔镜肺叶切除术中血管损伤出血的原因及处理. 中国微创外科杂志, 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. 刘连新, 尹大龙. 机械性吻合闭合技术在肝胆胰外科中的应用. 中华消化外科杂志, 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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