{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:20:48Z","timestamp":1781155248426,"version":"3.54.1"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T00:00:00Z","timestamp":1580342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T00:00:00Z","timestamp":1580342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Endoscopic devices often cause device-related surgical morbidities such as postoperative bleeding. Delayed bleeding due to a protruding edge of an endostapler has not been previously described in the literature.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>An 80-yr-old man with a second primary lung cancer underwent a wedge resection of the right lower lobe. He developed sudden hypotension and massive bleeding from the chest tube 4\u00a0h after the surgery and underwent an emergency reoperation. A torn parietal pleura was found to have caused a persistent bleeding. There was a sharp protruding edge created by multiple firings of the endostapler. The subsequent lung expansion would have promoted a direct contact between the edge and parietal pleura resulting in delayed bleeding.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>A protruding edge due to multiple firings of an endostapler could injure the parietal pleura and cause delayed bleeding after a lung resection. This type of injury would be more common in wedge resection cases because of the larger residual lung volume preserved, which is expected to have a better lung expansion and facilitate the direct contact of the staple line and parietal pleura.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-0797-0","type":"journal-article","created":{"date-parts":[[2020,1,30]],"date-time":"2020-01-30T17:04:28Z","timestamp":1580403868000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Delayed bleeding due to a sharp protruding edge of the endostaplers after a wedge resection of the lung: a case report"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5723-7584","authenticated-orcid":false,"given":"Kazuki","family":"Yamano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Fujikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,30]]},"reference":[{"issue":"4","key":"797_CR1","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1016\/0003-4975(96)00021-5","volume":"61","author":"MJ Krasna","year":"1996","unstructured":"Krasna MJ, Deshmukh S, McLaughlin JS. Complications of thoracoscopy. Ann Thorac Surg. 1996;61(4):1066\u20139.","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"797_CR2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1510\/icvts.2009.203786","volume":"9","author":"H Motoyama","year":"2009","unstructured":"Motoyama H, Yamashina A, Chihara K. Sudden hemothorax following lobectomy caused by staple. Interact Cardiovasc Thorac Surg. 2009;9(1):117\u20138.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"3","key":"797_CR3","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1093\/icvts\/ivr118","volume":"14","author":"Y Kanai","year":"2012","unstructured":"Kanai Y, Endo S, Tetsuka K, Yamamoto S. Massive haemothorax after pulmonary endostapling preloaded with bioabsorbable tissue reinforcement material. Interact Cardiovasc Thorac Surg. 2012;14(3):345\u20136.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"5","key":"797_CR4","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1093\/icvts\/ivt047","volume":"16","author":"H Otsuka","year":"2013","unstructured":"Otsuka H, Hata Y, Takagi K, Sato F. Haemothorax following bullectomy caused by a sharp edge of the Endoloop. Interact Cardiovasc Thorac Surg. 2013;16(5):718\u201320.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"2","key":"797_CR5","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1007\/s00268-013-2292-2","volume":"38","author":"M Yano","year":"2014","unstructured":"Yano M, Yokoi K, Numanami H, Kondo R, Ohde Y, Sugaya M, et al. Complications of bronchial stapling in thoracic surgery. World J Surg. 2014;38(2):341\u20136.","journal-title":"World J Surg"},{"issue":"7","key":"797_CR6","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1007\/s11748-018-01060-9","volume":"67","author":"M Yano","year":"2019","unstructured":"Yano M, Numanami H, Akiyama T, Taguchi R, Furuta C, Haniuda M. Reoperation for postoperative bleeding following pulmonary resection: a report of a single-center experience. Gen Thorac Cardiovasc Surg. 2019;67(7):608\u201314.","journal-title":"Gen Thorac Cardiovasc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0797-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-020-0797-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0797-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:06:53Z","timestamp":1611878813000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-0797-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,30]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["797"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-0797-0","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,30]]},"assertion":[{"value":"28 December 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for the publication of the case details was obtained from our patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"31"}}