2017 Volume 31 Issue 1 Pages 92-97
Automatic stapling devices are widely utilized for thoracic surgery to dissect or close tissues, such as the lung parenchyma, bronchi, and vessels. However, accidents associated with automatic stapling devices have also been reported. We have encountered postoperative bleeding due to the penetration of a staple at the bronchial stump to the adjacent pulmonary artery. We suggest that careful observation is required after the resection of a bronchus. In cases whereby the staple at the stump of a bronchus is close to or in contact with vessels, such as the pulmonary artery or vein, coverage of the bronchial stump using a tissue sealant patch, e.g., fibrin-glue-coated collagen fleece, or a tissue flap, e.g., a pericardial fat-pad, is recommended to prevent the damage of vessels.
