{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:39:58Z","timestamp":1772987998127,"version":"3.50.1"},"reference-count":3,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>In lung cancer surgery, when tumors are present in the branches of the bronchus, it may be appropriate to perform suture closure by sharply separating the bronchus, rather than using an autosuture device to ensure adequate margins. While RATS simplifies needle handling compared to VATS, ligation remains challenging due to the lack of tactile feedback. To ensure closure of the bronchial segment by ligation in robotic surgery, we started a preliminary study to use dual barbed sutures that do not require ligation and clips for ligature fixation after the approval from the Ethics Committee of Mie University Hospital. We performed this procedure in five patients from January 2024 to present. Postoperative bronchoscopy, performed in four of the five patients, confirmed the bronchial stump was well closed in all cases, with no evidence of bronchopleural fistula (BPF). However, two patients experienced prolonged hospitalization due to midlobar torsion and prolonged air leakage requiring pleurodesis, respectively. The preliminary results suggest that this novel technique provides reliable bronchial stump closure in RATS. We plan to conduct a larger cohort study with long\u2010term follow\u2010up to further confirm the safety and long\u2010term BPF rate.<\/jats:p>","DOI":"10.1111\/1759-7714.70193","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:19:53Z","timestamp":1771633193000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Suturing Technique Without Tying for Closure of the Bronchial Stump in Robotic Surgery"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2940-4803","authenticated-orcid":false,"given":"Daisuke","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2035-4335","authenticated-orcid":false,"given":"Shinji","family":"Kaneda","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8743-0718","authenticated-orcid":false,"given":"Teruhisa","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5986-9419","authenticated-orcid":false,"given":"Koji","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(00)00318-3"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"190","article-title":"Robot\u2010Assisted Muscle\u2010Sparing Chest Wall Resection Without Thoracotomy: Tips and Benefits for Lung Cancer Patients With Chest Wall Invasion","volume":"3","author":"Kawaguchi K.","year":"2024","journal-title":"Annals of Thoracic Surgery"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.168.507"}],"container-title":["Thoracic Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.70193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1759-7714.70193","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.70193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:13:58Z","timestamp":1772968438000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1759-7714.70193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":3,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/1759-7714.70193"],"URL":"https:\/\/doi.org\/10.1111\/1759-7714.70193","archive":["Portico"],"relation":{},"ISSN":["1759-7706","1759-7714"],"issn-type":[{"value":"1759-7706","type":"print"},{"value":"1759-7714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-06-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70193"}}