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Related Experiment Video

Updated: Mar 10, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Troubleshooting for bleeding in thoracoscopic anatomic pulmonary resection.

Hitoshi Igai1, Mitsuhiro Kamiyoshihara1, Takashi Ibe1

  • 1Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan.

Asian Cardiovascular & Thoracic Annals
|December 7, 2016
PubMed
Summary

Intraoperative vessel injury during thoracoscopic lung resection can be managed effectively using thrombostatic sealant. This study found no significant differences in outcomes between patients with and without vessel injury.

Keywords:
Blood lossConversion to open surgeryPneumonectomyThoracic surgeryTissue adhesivesVascular system injuriessurgicalvideo-assisted

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Thoracoscopic anatomic pulmonary resection is a common surgical procedure.
  • Intraoperative vessel injury can lead to significant bleeding, posing a challenge during thoracoscopic surgery.

Purpose of the Study:

  • To evaluate intraoperative vessel injury during thoracoscopic anatomic pulmonary resection.
  • To assess troubleshooting and hemostatic procedures for managing bleeding.
  • To compare perioperative outcomes in patients with and without vessel injury.

Main Methods:

  • A retrospective analysis of 240 patients undergoing thoracoscopic anatomic lung resection between April 2012 and March 2016.
  • Identification and analysis of 26 patients with intraoperative massive bleeding.
  • Comparison of perioperative outcomes between vessel injury and no-vessel injury groups, and between early and late surgical periods.

Main Results:

  • Twenty-seven points of vessel injury were identified in 26 patients, with hemostasis primarily achieved using thrombostatic sealant (63.0%).
  • No significant differences in postoperative hospitalization length or morbidity rates were observed between groups with and without vessel injury.
  • No significant differences in intraoperative bleeding incidence or total blood loss were found between the early and late surgical periods.

Conclusions:

  • Thrombostatic sealant is an effective method for achieving hemostasis during thoracoscopic anatomic pulmonary resection.
  • Vascular hazards are an inherent risk in thoracoscopic surgery, requiring surgeon vigilance.
  • Thoracic surgeons must be prepared to manage significant intraoperative bleeding effectively.