Skip to main content

Abstract

Methods: This retrospective cohort study identified patients who underwent video-assisted thoracic surgery (VATS) lobectomy for lung cancer from January 2016 to December 2018 in a Chinese tertiary general hospital. The electronic hospital medical records associated with the VATS lobectomy for lung cancer were the data sources. Results: Based on the analysis of 433 patients with the utilization of staplers in their VATS lobectomy for lung cancer, using powered stapler was associated with significantly shorter operation time and postsurgery hospital stay length than using the manual stapler in the multivariable generalized linear regression analyses with the adjustment of patient characteristics. However, no other significant differences were observed for other clinical outcomes between the two staplers.

Supplementary Material

File (supplementary table 1.docx)

References

Papers of special note have been highlighted as: • of interest; •• of considerable interest
1.
Péterffy Á, Calabrese E. Mechanical and conventional manual sutures of the bronchial stump. A comparative study of 298 surgical patients. Scand. J. Thorac. Cardiovasc. Surg. 13(1), 87–91 (1979).
2.
Panagopoulos ND, Apostolakis E, Koletsis E et al. Low incidence of bronchopleural fistula after pneumonectomy for lung cancer. Interact. Cardiovasc. Thorac. Surg. 9(4), 571–575 (2009).
3.
Sonobe M, Nakagawa M, Ichinose M, Ikegami N, Nagasawa M, Shindo T. Analysis of risk factors in bronchopleural fistula after pulmonary resection for primary lung cancer. Eur. J. Cardiothorac. Surg. 18(5), 519–523 (2000).
4.
Tantraworasin A, Seateang S, Bunchungmongkol N. Staplers versus hand-sewing for pulmonary lobectomy: randomized controlled trial. Asian Cardiovasc. Thorac. Ann. 22(3), 309–314 (2014).
• Of interest.
5.
Chen FF, Zhang D, Wang YL, Xiong B. Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage I non-small-cell lung cancer: a meta-analysis. Eur. J. Surg. Oncol. 39(9), 957–963 (2013).
• Of interest.
6.
Acuff TE, Mack MJ, Landreneau RJ, Hazelrigg SR. Role of mechanical stapling devices in thoracoscopic pulmonary resection. Ann. Thorac. Surg. 56(3), 749–751 (1993).
7.
Özyurtkan MO, Kaba E, Toker A. Technological innovation in video-assisted thoracic surgery. J. Vis. Surg. 3, 20 (2017).
• Of interest.
8.
Kuroda H, Yoshida T, Sakao Y. A powered vascular stapler for the application of segmental bronchial closure in thoracoscopic anatomic segmentectomy. J. Thorac. Dis. 9, 5352–5354 (2017).
•• Of considerable interest.
9.
Miller DL, Roy S, Kassis ES, Yadalam S, Ramisetti S, Johnston SS. Impact of powered and tissue-specific endoscopic stapling technology on clinical and economic outcomes of video-assisted thoracic surgery lobectomy procedures: a retrospective, observational study. Adv. Ther. 35(5), 707–723 (2018).
•• Of considerable interest.
10.
Qiu B, Yan W, Chen K, Fu X, Hu J, Gao S et al. A multi-center evaluation of a powered surgical stapler in video-assisted thoracoscopic lung resection procedures in China. J. Thorac. Dis. 8(5), 1007 (2016).
•• Of considerable interest.
11.
von Elm E, Altman DG, Egger M et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 335(7624), 806–808 (2007).
12.
Graubard BI, Korn EL. Predictive margins with survey data. Biometrics 55(2), 652–659 (1999).
13.
The R Project for Statistical Computing (2021). www.r-project.org
14.
Swanson SJ, Meyers BF, Gunnarsson CL et al. Video-assisted thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retrospective multi-institutional database analysis. Ann. Thorac. Surg. 93(4), 1027–1032 (2012).
15.
Shigeeda W, Deguchi H, Tomoyasu M et al. Utility of the powered stapler for radical pulmonary resection: a propensity score-matched analysis. Surg. Today 51(4), 582–588 (2021).
•• Of considerable interest.
16.
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. 22(12), 1274–1280 (2019).
•• Of considerable interest.
17.
Sedgwick P. Retrospective cohort studies: advantages and disadvantages. BMJ 348, (2014) (Epub ahead of print).
18.
Mueller MR, Marzluf BA. The anticipation and management of air leaks and residual spaces post lung resection. J. Thorac. Dis. 6(3), 271–284 (2014).
19.
Garcia-Granero E, Navarro F, Santacruz CC et al. Individual surgeon is an independent risk factor for leak after double-stapled colorectal anastomosis: an institutional analysis of 800 patients. Surgery 162(5), 1006–1016 (2017).
20.
Carandina S, Montana L, Danan M, Zulian V, Nedelcu M, Barrat C. Laparoscopic sleeve gastrectomy learning curve: clinical and economic impact. Obes. Surg. 29(1), 143–148 (2019).
21.
Lin CS, Hsu WH, Wu YC, Huang WC, Wang CY, Huang MH. Effectiveness of short-term antibiotic prophylaxis on postoperative recovery course after pulmonary lobectomies. J. Chin. Med. Assoc. 67(6), 275–280 (2004).
22.
Julien JBS, Aldrich MC, Sheng S, Deppen SA, Burfeind WR Jr, Putnam JB. Obesity increases operating room time for lobectomy in the society of thoracic surgeons database. Ann. Thorac. Surg. 94(6), 1841–1847 (2012).
23.
Leong G, Wilson J, Charlett A. Duration of operation as a risk factor for surgical site infection: comparison of English and US data. J. Hosp. Infect. 63(3), 255–262 (2006).
24.
Collins TC, Daley J, Henderson WH, Khuri SF. Risk factors for prolonged length of stay after major elective surgery. Ann. Surg. 230(2), 251–259 (1999).