{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:23:55Z","timestamp":1755224635066,"version":"3.43.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Reseatch Support Project for Life Science and Drug Discovery","award":["JP25ama121054"],"award-info":[{"award-number":["JP25ama121054"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Two major types of stapling devices exist: those with disposable built-in knives and those with nondisposable built-in knives. This study investigated whether the stapler type influences the incidence of local recurrence, including margin recurrence and pleural dissemination, after curative sublobar resection for lung cancer.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We retrospectively reviewed patients who underwent sublobar resection at our institution between 2010 and 2021. We compared disease-free survival, overall survival, and local recurrence between procedures using a stapler with a disposable knife and those using a stapler with a nondisposable knife.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 269 patients were included: 84 were treated with the disposable-knife stapler and 185 with the nondisposable-knife stapler. Local recurrence occurred in 22 of 269 patients (8.2%), including 9 of 84 (10.7%) in the disposable group and 13 of 185 (7.0%) in the nondisposable group (P\u2009=\u2009.72). Patients who developed local recurrence tended to be older, male, have a smoking history, squamous cell carcinoma, absence of a ground-glass component, positive stapling cartridge cytology, partial resection, right lower lobe tumours, elevated carcinoembryonic antigen, and higher maximum standardized uptake values. In a propensity score-matched study (78 patients per group), no significant differences in disease-free survival, overall survival, or local recurrence were detected between the stapler types.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>No statistically significant differences in oncological outcomes were observed between stapler types in this retrospective study; however, the absence of a significant difference does not rule out a real effect. Further large-scale research is warranted.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaf171","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T18:01:27Z","timestamp":1753466487000},"source":"Crossref","is-referenced-by-count":0,"title":["Local Recurrence After Sublobar Resection for Primary Lung Cancer: Does the Type of Stapling Device Matter?"],"prefix":"10.1093","volume":"40","author":[{"given":"Go","family":"Kamimura","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima 890-8520,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1769-5382","authenticated-orcid":false,"given":"Masaya","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima 890-8520,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satomi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima 890-8520,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoichiro","family":"Morizono","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima 890-8520,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Tokunaga","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima 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