{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:51:35Z","timestamp":1791953495593,"version":"4.3.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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 restapling. 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 restapling may provide a feasible rescue option without conversion. A focused \u201cpre-stapling time-out\u201d to confirm the removal of endobronchial adjuncts may help prevent similar events.<\/jats:p>","DOI":"10.1093\/icvts\/ivag261","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:24:05Z","timestamp":1789651445000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic Bronchial Restapling After Inadvertent Stapling of an Endobronchial Suction Tube: Technical Note and a Prestapling Time-Out"],"prefix":"10.1093","volume":"41","author":[{"given":"Sang Yun","family":"Song","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School , Hwasun-eup, Jeollanam-do 58128,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyo Seon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University Medical School , Gwangju 61469,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kook Joo","family":"Na","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School , Hwasun-eup, Jeollanam-do 58128,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5167-3454","authenticated-orcid":false,"given":"Ju Sik","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School , Hwasun-eup, Jeollanam-do 58128,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"2026101400415062300_ivag261-B1","doi-asserted-by":"publisher","first-page":"853530","DOI":"10.3389\/fonc.2022.853530","article-title":"Updated evaluation of robotic- and video-assisted thoracoscopic lobectomy or segmentectomy for lung cancer: a systematic review and meta-analysis","volume":"12","author":"Zhang","year":"2022","journal-title":"Front Oncol"},{"key":"2026101400415062300_ivag261-B2","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1186\/s40792-021-01278-5","article-title":"Stapling of an endobronchial suction tube with the bronchus during robot-assisted right lower lobectomy: a case report","volume":"7","author":"Tanaka","year":"2021","journal-title":"Surg Case Rep"},{"key":"2026101400415062300_ivag261-B3","doi-asserted-by":"publisher","first-page":"3221","DOI":"10.21037\/jtd-22-553","article-title":"Causes and management of intraoperative complications in robot-assisted anatomical pulmonary resection for lung cancer","volume":"14","author":"Takase","year":"2022","journal-title":"J Thorac Dis"},{"key":"2026101400415062300_ivag261-B4","doi-asserted-by":"publisher","first-page":"102195","DOI":"10.1016\/j.xjtc.2026.102195","article-title":"Management of serious complications in robotic-assisted thoracoscopic surgery","volume":"36","author":"Chauhan","year":"2026","journal-title":"JTCVS Tech"},{"key":"2026101400415062300_ivag261-B5","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.ijsu.2019.07.006","article-title":"The WHO safer surgery checklist time out procedure revisited: strategies to optimise compliance and safety","volume":"69","author":"Papadakis","year":"2019","journal-title":"Int J Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic 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