Robotic bronchial restapling after inadvertent stapling of an endobronchial suction tube: technical note and a prestapling time-out

{"Foreign":[0],"body":[1],"entrapment":[2],"during":[3,21],"bronchial":[4,65,92,123,127],"stapling":[5,28],"is":[6],"rare":[7],"but":[8],"may":[9,129,148],"result":[10],"in":[11],"severe":[12],"airway":[13],"injury.":[14],"We":[15],"report":[16],"an":[17,30,67,121],"unusual":[18],"intraoperative":[19],"complication":[20],"robot-assisted":[22],"thoracic":[23],"surgery":[24],"(RATS)":[25],"lobectomy:":[26],"inadvertent":[27],"of":[29,89,145],"endobronchial":[31,68,146],"suction":[32,69],"tube":[33,70,83],"into":[34,78],"the":[35,79,90,143],"right":[36,113],"lower":[37],"lobe":[38,115],"(RLL)":[39],"bronchus,":[40],"successfully":[41],"managed":[42],"robotically":[43],"without":[44,135],"conversion.":[45,136],"A":[46,137],"65-year-old":[47],"woman":[48],"with":[49,59,117],"clinical":[50],"stage":[51],"I":[52],"lung":[53,74],"adenocarcinoma":[54],"underwent":[55],"RATS":[56],"RLL":[57],"lobectomy":[58],"mediastinal":[60],"lymph":[61],"node":[62],"dissection.":[63],"During":[64],"division,":[66],"used":[71],"to":[72,141],"facilitate":[73],"deflation":[75],"was":[76,84,102],"incorporated":[77],"staple":[80],"line.":[81],"The":[82,99],"removed":[85],"through":[86],"limited":[87],"resection":[88],"involved":[91],"stump":[93],"segment,":[94],"followed":[95],"by":[96],"traction-suture-assisted":[97],"re-stapling.":[98],"postoperative":[100],"course":[101],"uneventful,":[103],"and":[104,110],"1-year":[105],"follow-up":[106],"showed":[107],"no":[108],"atelectasis":[109],"a":[111,131],"patent":[112],"middle":[114],"bronchus":[116],"mild":[118],"narrowing.":[119],"When":[120],"adequate":[122],"margin":[124],"remains,":[125],"robotic":[126],"re-stapling":[128],"provide":[130],"feasible":[132],"rescue":[133],"option":[134],"focused":[138],"\\"pre-stapling":[139],"time-out\\"":[140],"confirm":[142],"removal":[144],"adjuncts":[147],"help":[149],"prevent":[150],"similar":[151],"events.":[152]}

Authors

Institutions

Publication Details

Journal
Interdisciplinary CardioVascular and Thoracic Surgery
Published
2026-09-17
DOI
https://doi.org/10.1093/icvts/ivag261
Primary Topic
Trauma Management and Diagnosis
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
article

Robotic bronchial restapling after inadvertent stapling of an endobronchial suction tube: technical note and a prestapling time-out

Sang Yun Song, Kyo Seon Lee, Ju Sik Yun, Kook Joo Na
Interdisciplinary CardioVascular and Thoracic Surgery
Trauma Management and Diagnosis
article

Robotic bronchial restapling after inadvertent stapling of an endobronchial suction tube: technical note and a prestapling time-out

Sang Yun Song, Kyo Seon Lee, Ju Sik Yun, Kook Joo Na
article en

Abstract

Foreign body entrapment during bronchial stapling is rare but may result in severe airway injury. We report an unusual intraoperative complication during robot-assisted thoracic surgery (RATS) lobectomy: inadvertent stapling of an endobronchial suction tube into the right lower lobe (RLL) bronchus, successfully managed robotically without conversion. A 65-year-old woman with clinical stage I lung adenocarcinoma underwent RATS RLL lobectomy with mediastinal lymph node dissection. During bronchial division, an endobronchial suction tube used to facilitate lung deflation was incorporated into the staple line. The tube was removed through limited resection of the involved bronchial stump segment, followed by traction-suture-assisted re-stapling. The postoperative course was uneventful, and 1-year follow-up showed no atelectasis and a patent right middle lobe bronchus with mild narrowing. When an adequate bronchial margin remains, robotic bronchial re-stapling may provide a feasible rescue option without conversion. A focused "pre-stapling time-out" to confirm the removal of endobronchial adjuncts may help prevent similar events.

Interdisciplinary CardioVascular and Thoracic Surgery
Chonnam National University Hospital (KR), Chonnam National University Hwasun Hospital (KR)
Good health and well-being
Openalex Percentile: Top 9%
Trauma Management and Diagnosis
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.