Evaluation of the application of staplers in thoracoscopic lung surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LI Shenghui ¹ , REN Yijiu ¹ , SU Hang ¹ , YANG Minglei ² , ZHAO Guofang ² , SONG Yongxiang ³ , HU Xuefei ¹ , ZHAO Deping ¹ , XUE Qi ⁴ ,  CHEN Chang ¹

1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, 200000, P. R. China;
2. Department of Thoracic Surgery, Ningbo Huamei Hospital, Chinese Academy of Sciences, Ningbo, 315000, Zhejiang, P. R. China;
3. Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou, 563000, Guizhou, P. R. China;
4. Department of Thoracic Surgery, Center Hospital Chinese Academy of Medical Sciences, Beijing, 100021, P. R. China;

Corresponding author：

CHEN Chang, Email: chenthoracic@163.com

Keywords：

Pulmonary surger; stapler; thoracoscopy

DOI：

10.7507/1007-4848.202408021

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Compared to traditional suturing, lung stapling using automatic staplers offers advantages such as smaller trauma, faster wound healing, ease of operation, and lower complication rates, making it widely used in clinical practice. However, there are significant differences in bronchial tissue thickness at different anatomical locations, and the market is flooded with various types of staplers. Currently, there is a lack of recommended stapling schemes for bronchial staplers at different anatomical locations. This article reviews the development and application of automatic staplers and summarizes some types of staplers that are currently used in clinical practice, with the aim of promoting the formation of individualized stapler selection protocols for minimally invasive thoracic surgery based on the Chinese population.

1.	Gaidry AD, Tremblay L, Nakayama D, et al. The History of surgical staplers: A Combination of Hungarian, Russian, and American Innovation. Am Surg, 2019, 85: 563-566.
2.	Amosov NM, Berezovsky KK. Pulmonary resection with mechanical suture. J Thorac Cardiovasc Surg, 1961, 41: 325-335.
3.	Hood RM, Kirksey TD, Calhoon JH, et al. The use of automatic stapling devices in pulmonary resection. Ann Thorac Surg, 1973, 16(1): 85-98.
4.	Betts Rh, Takaro T. Use of a lung stapler in pulmonary resection. Ann Thorac Surg, 1965, 1: 197-202.
5.	Ravitch MM, Steichen FM, Fishbein RH, et al. Clinical experiences with the soviet mechanical bronchus stapler (UKB-25). J Thorac Cardiovasc Surg, 1964, 47: 446-454.
6.	Hakim M, Milstein BB. Role of automatic staplers in the aetiology of bronchopleural fistula. Thorax, 1985, 40(1): 27-31.
7.	Forrester-Wood CP. Bronchopleural fistula following pneumonectomy for carcinoma of the bronchus: Mechanical stapling versus hand suturing. J Thorac Cardiovasc Surg, 1980, 80: 406-409.
8.	Smiell J, Widmann WD. Bronchopleural fistulas after pneumonectomy. A problem with surgical stapling. Chest, 1987, 92(6): 1056-1060.
9.	Moran BJ. Stapling instruments for intestinal anastomosis in colorectal surgery. Br J Surg, 1996, 83(7): 902-909.
10.	Wang S, Hua Y, Liu J, et al. A comparison of the preclinical performance of the echelon™+ stapler with thunderbird reloads to two commercial endoscopic surgical staplers. Med Devices (Auckl), 2023 Dec 5: 16: 229-236.16-229.
11.	Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): A multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet, 2022, 399(10335): 1607-1617.
12.	Carrasquilla C, English WJ, Esposito P, et al. Total stapled, total intra-abdominal (TSTI) laparoscopic Roux-en-Y gastric bypass: One leak in 1000 cases. Obes Surg, 2004, 14(5): 613-617.
13.	Han SH, Gracia C, Mehran A, et al. Improved outcomes using a systematic and evidence-based approach to the laparoscopic Roux-en-Y gastric bypass in a single academic institution. Am Surg, 2007, 73: 955-958.
14.	Yano M, Yokoi K, Numanami H, et al. Complications of bronchial stapling in thoracic surgery. World J Surg, 2014, 38(2): 341-346.
15.	Bonnet B, Tabiai I, Rakovich G, et al. Air leaks: Stapling affects porcine lungs biomechanics. J Mech Behav Biomed Mater, 2022 Jan: 125: 104883.
16.	Chekan EG, Cummings JF, Mabe I, et al. Thickness of cadaveric human lung tissue. Surg Technol Int, 2016, 29: 207-213.
17.	Takamochi K, Oh S, Miyasaka Y, et al. Prospective randomized trial comparing buttressed versus nonbuttressed stapling in patients undergoing pulmonary lobectomy. Thorac Cardiovasc Surg, 2014, 62(8): 696-704.
18.	Kuroda H, Sugita Y, Nakanishi K, et al. Favorable clinical application for segmental bronchial closure based on experiment results. J Thorac Dis, 2019, 11(6): 2267-2273.
19.	Kalvapudi S, Vedire Y, Yendamuri S, et al. Neoadjuvant therapy in non-small cell lung cancer: Basis, promise, and challenges. Front Oncol, 2023 Dec 8: 13: 1286104.
20.	Travis WD, Dacic S, Wistuba I, et al. IASLC Multidisciplinary recommendations for pathologic assessment of lung cancer resection specimens after neoadjuvant therapy. J Thorac Oncol, 2020, 15(5): 709-740.
21.	Fortin SP, Johnston SS, Chaudhuri R, et al. Incidence, predictors, and economic burden of circular anastomotic complications in left-sided colorectal reconstructions involving manual circular staplers. J Med Econ, 2021, 24(1): 255-265.
22.	Park J, Suh SW, Kim MK, et al. Less pain and reduced risk of early postoperative ileus after clipless versus conventional laparoscopic appendectomy. Surg Laparosc Endosc Percutan Tech, 2019, 29(6): 543-547.
23.	Yeo E, Thompson J, Hanseman D, et al. Increased staple loading pressures and reduced staple heights in laparoscopic sleeve gastrectomy reduce intraoperative bleeding. Surg, 2021, 169(5): 1110-1115.
24.	Miyata Y, Okada M. Hybrid video-assisted thoracic surgery basilar (S9-10) segmentectomy. Semin Thorac Cardiovasc Surg, 2011, Spring,23(1): 73-77.
25.	Matsuura N, Igai H, Ohsawa F, et al. Novel thoracoscopic segmentectomy combining preoperative three-dimensional image simulation and intravenous administration of indocyanine green. Interact Cardiovasc Thorac Surg, 2022, 35(2): ivac064.
26.	Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
27.	Mitsui S, Tanaka Y, Nishikubo M, et al. Safety and efficacy of new staple-line reinforcement in lung resection: A prospective study of 48 patients. Surg Today, 2024, 54(7): 779-786.
28.	Ema T. The experience of using Endo GIA™ radial reload with Tri-Staple™ technology for various lung surgery. J Thorac Dis, 2014, 6(10): 1482-1484.
29.	Gan C, Zeng F, Cong W, et al. Powered stapling system with gripping surface technology for pulmonary resection of lung cancer: Real-world clinical effectiveness. Cost Eff Resour Alloc, 2022, 20(1): 72.
30.	Park SY, Kim DJ, Mo Nam C, et al. Clinical and economic benefits associated with the use of powered and tissue-specific endoscopic staplers among the patients undergoing thoracoscopic lobectomy for lung cancer. J Med Econ, 2019, 22(12): 1274-1280.

1. Gaidry AD, Tremblay L, Nakayama D, et al. The History of surgical staplers: A Combination of Hungarian, Russian, and American Innovation. Am Surg, 2019, 85: 563-566.
2. Amosov NM, Berezovsky KK. Pulmonary resection with mechanical suture. J Thorac Cardiovasc Surg, 1961, 41: 325-335.
3. Hood RM, Kirksey TD, Calhoon JH, et al. The use of automatic stapling devices in pulmonary resection. Ann Thorac Surg, 1973, 16(1): 85-98.
4. Betts Rh, Takaro T. Use of a lung stapler in pulmonary resection. Ann Thorac Surg, 1965, 1: 197-202.
5. Ravitch MM, Steichen FM, Fishbein RH, et al. Clinical experiences with the soviet mechanical bronchus stapler (UKB-25). J Thorac Cardiovasc Surg, 1964, 47: 446-454.
6. Hakim M, Milstein BB. Role of automatic staplers in the aetiology of bronchopleural fistula. Thorax, 1985, 40(1): 27-31.
7. Forrester-Wood CP. Bronchopleural fistula following pneumonectomy for carcinoma of the bronchus: Mechanical stapling versus hand suturing. J Thorac Cardiovasc Surg, 1980, 80: 406-409.
8. Smiell J, Widmann WD. Bronchopleural fistulas after pneumonectomy. A problem with surgical stapling. Chest, 1987, 92(6): 1056-1060.
9. Moran BJ. Stapling instruments for intestinal anastomosis in colorectal surgery. Br J Surg, 1996, 83(7): 902-909.
10. Wang S, Hua Y, Liu J, et al. A comparison of the preclinical performance of the echelon™+ stapler with thunderbird reloads to two commercial endoscopic surgical staplers. Med Devices (Auckl), 2023 Dec 5: 16: 229-236.16-229.
11. Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): A multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet, 2022, 399(10335): 1607-1617.
12. Carrasquilla C, English WJ, Esposito P, et al. Total stapled, total intra-abdominal (TSTI) laparoscopic Roux-en-Y gastric bypass: One leak in 1000 cases. Obes Surg, 2004, 14(5): 613-617.
13. Han SH, Gracia C, Mehran A, et al. Improved outcomes using a systematic and evidence-based approach to the laparoscopic Roux-en-Y gastric bypass in a single academic institution. Am Surg, 2007, 73: 955-958.
14. Yano M, Yokoi K, Numanami H, et al. Complications of bronchial stapling in thoracic surgery. World J Surg, 2014, 38(2): 341-346.
15. Bonnet B, Tabiai I, Rakovich G, et al. Air leaks: Stapling affects porcine lungs biomechanics. J Mech Behav Biomed Mater, 2022 Jan: 125: 104883.
16. Chekan EG, Cummings JF, Mabe I, et al. Thickness of cadaveric human lung tissue. Surg Technol Int, 2016, 29: 207-213.
17. Takamochi K, Oh S, Miyasaka Y, et al. Prospective randomized trial comparing buttressed versus nonbuttressed stapling in patients undergoing pulmonary lobectomy. Thorac Cardiovasc Surg, 2014, 62(8): 696-704.
18. Kuroda H, Sugita Y, Nakanishi K, et al. Favorable clinical application for segmental bronchial closure based on experiment results. J Thorac Dis, 2019, 11(6): 2267-2273.
19. Kalvapudi S, Vedire Y, Yendamuri S, et al. Neoadjuvant therapy in non-small cell lung cancer: Basis, promise, and challenges. Front Oncol, 2023 Dec 8: 13: 1286104.
20. Travis WD, Dacic S, Wistuba I, et al. IASLC Multidisciplinary recommendations for pathologic assessment of lung cancer resection specimens after neoadjuvant therapy. J Thorac Oncol, 2020, 15(5): 709-740.
21. Fortin SP, Johnston SS, Chaudhuri R, et al. Incidence, predictors, and economic burden of circular anastomotic complications in left-sided colorectal reconstructions involving manual circular staplers. J Med Econ, 2021, 24(1): 255-265.
22. Park J, Suh SW, Kim MK, et al. Less pain and reduced risk of early postoperative ileus after clipless versus conventional laparoscopic appendectomy. Surg Laparosc Endosc Percutan Tech, 2019, 29(6): 543-547.
23. Yeo E, Thompson J, Hanseman D, et al. Increased staple loading pressures and reduced staple heights in laparoscopic sleeve gastrectomy reduce intraoperative bleeding. Surg, 2021, 169(5): 1110-1115.
24. Miyata Y, Okada M. Hybrid video-assisted thoracic surgery basilar (S9-10) segmentectomy. Semin Thorac Cardiovasc Surg, 2011, Spring,23(1): 73-77.
25. Matsuura N, Igai H, Ohsawa F, et al. Novel thoracoscopic segmentectomy combining preoperative three-dimensional image simulation and intravenous administration of indocyanine green. Interact Cardiovasc Thorac Surg, 2022, 35(2): ivac064.
26. Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
27. Mitsui S, Tanaka Y, Nishikubo M, et al. Safety and efficacy of new staple-line reinforcement in lung resection: A prospective study of 48 patients. Surg Today, 2024, 54(7): 779-786.
28. Ema T. The experience of using Endo GIA™ radial reload with Tri-Staple™ technology for various lung surgery. J Thorac Dis, 2014, 6(10): 1482-1484.
29. Gan C, Zeng F, Cong W, et al. Powered stapling system with gripping surface technology for pulmonary resection of lung cancer: Real-world clinical effectiveness. Cost Eff Resour Alloc, 2022, 20(1): 72.
30. Park SY, Kim DJ, Mo Nam C, et al. Clinical and economic benefits associated with the use of powered and tissue-specific endoscopic staplers among the patients undergoing thoracoscopic lobectomy for lung cancer. J Med Econ, 2019, 22(12): 1274-1280.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesEvaluation of the application of staplers in thoracoscopic lung surgery

Abstract Full text Figures/Tables Video References Cited by

Format

Content