Slow-firing mode reduces stump oozing during pulmonary vessel stapling.

ABSTRACT:

Background

Central vascular stump oozing after pulmonary vessel stapling remains a clinically relevant challenge in thoracic surgery. Powered staplers are standard, but the optimal firing speed for minimizing bleeding has not been established. We evaluated whether the slow-firing mode reduces intraoperative stump oozing compared with the default fast-firing mode.

Methods

This retrospective two-center cohort study analyzed 276 pulmonary vessel stapling events (168 slow-firing and 108 fast-firing) during anatomic pulmonary resections performed with a powered stapler (Signia™, Medtronic) that allows manual adjustment of firing speed. The primary outcome was stump oozing lasting ≥15 seconds after vascular transection. Secondary outcomes included the need for hemostatic intervent

SUBMITTER: Kohama T 

PROVIDER: S-EPMC12688509 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature