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Hemothorax after emphysematous bullectomy using a linear staple device with bioabsorbable polyglycolic acid felt
Kazuki Hayashi1, Makoto Motoishi2, Satoru Sawai3
1Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga, Japan.
Journal of Surgical Case Reports
|November 3, 2018
Summary
Bleeding complications occurred with an improved linear stapler used in lung surgery. This case report details a rare instance of active bleeding from a staple device in a patient with lung cancer.
Area of Science:
- Thoracic Surgery
- Surgical Devices
- Pulmonary Medicine
Background:
- Linear staplers with polyglycolic acid felt are standard for emphysematous lung resection.
- An improved device was developed to mitigate bleeding complications seen with earlier models.
Observation:
- A 69-year-old man underwent left lower lobectomy and bullectomy for lung cancer using the improved stapler.
- Postoperatively, the patient developed hemothorax requiring reoperation.
Findings:
- During reoperation, a staple from the improved device was found contacting proliferating lung vessels.
- This contact caused active bleeding, which was successfully managed with cauterization.
Implications:
- This is the first reported case of bleeding associated with the improved linear stapler device.
- Further investigation into the design and application of these staple devices may be warranted to prevent similar complications.
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