{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T19:36:27Z","timestamp":1773171387285,"version":"3.50.1"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:00:00Z","timestamp":1637193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:00:00Z","timestamp":1637193600000},"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":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Soft coagulation is widely used for hemostasis because of its significant advantage in inducing tissue coagulation and denaturation without carbonization. However, a few cases of airway damage have been reported at the site, where soft coagulation was directly applied.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We encountered an unusual case of delayed perforation of the intermediate bronchial trunk observed on 24\u00a0days after cauterization of the right S6 bulla adjacent to the bronchus. Chest computed tomography revealed a large fistula between the intermediate bronchial trunk and the cauterized bulla in the right S6. Bronchoscopy showed a large fistula at the membranous portion of the intermediate bronchial trunk. We presumed that the bronchial perforation resulted from thermal damage to the intermediate bronchial trunk during bulla cauterization and the bronchial perforation induced infection in the bulla. Resection of the infectious bulla and the intermediate bronchial trunk, followed by end-to-end bronchial anastomosis and a pedicled intercostal muscle flap coverage, was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The severe airway damage resulting in perforation developed even without direct contact between the electrode tip and the bronchial wall, provoking the need for special attention to the duration of cauterization and location, where it is used.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01327-z","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T11:03:20Z","timestamp":1637233400000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Delayed bronchial perforation after bulla cauterization with soft coagulation system"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4465-122X","authenticated-orcid":false,"given":"Sakiko","family":"Kumata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunari","family":"Matsuoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinjiro","family":"Nagai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuhiro","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Okada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Miyamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,18]]},"reference":[{"key":"1327_CR1","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1510\/icvts.2009.212696","volume":"9","author":"T Sakuragi","year":"2009","unstructured":"Sakuragi T, Ohma H, Ohteki H. Efficacy of SOFT COAG for intraoperative bleeding in thoracic surgery. Interact Cardiovasc Thorac Surg. 2009;9:767\u20138.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1327_CR2","first-page":"267","volume":"64","author":"S Yamamoto","year":"2011","unstructured":"Yamamoto S, Otani S, Mitsuda S, Endo T, Hasegawa T, Endo S. Electroablation for the treatment of spontaneous pneumothorax using SOFT COAG electrosurgical output system. Kyobu Geka. 2011;64:267\u20139.","journal-title":"Kyobu Geka"},{"key":"1327_CR3","doi-asserted-by":"publisher","first-page":"765","DOI":"10.2995\/jacsurg.29.765","volume":"29","author":"S Taniguchi","year":"2015","unstructured":"Taniguchi S, Otani S, Mitsuda S, Endo T, Hasegawa T, Endo T. Electroablation using the SOFT COAG electrosurgical output system for the treatment of secondary spontaneous pneumothorax in a patient with non-tuberculous mycobacteriosis. Jpn J Chest Surg. 2015;29:765\u20139.","journal-title":"Jpn J Chest Surg"},{"key":"1327_CR4","first-page":"1483","volume":"7","author":"T Shibano","year":"2015","unstructured":"Shibano T, Endo S, Otani S, Nakano T. Incidental bronchial injury by soft coagulation. J Thorac Dis. 2015;7:1483\u20135.","journal-title":"J Thorac Dis"},{"key":"1327_CR5","first-page":"991","volume":"70","author":"M Hashimoto","year":"2017","unstructured":"Hashimoto M, Takada M, Sato K, Yoshioka H. Delayed tracheal perforation after pulmonary resection for lung cancer. Kyobu Geka. 2017;70:991\u20133.","journal-title":"Kyobu Geka"},{"key":"1327_CR6","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1034\/j.1399-3003.1999.14d12.x","volume":"14","author":"C Verkindre","year":"1999","unstructured":"Verkindre C, Brichet A, Maurage CA, Ramon P, Homasson J-P, Marquette CH. Morphological changes induced by extensive endobronchial electrocautery. Eur Respir J. 1999;14:796\u20139.","journal-title":"Eur Respir J"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01327-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01327-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01327-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T11:28:53Z","timestamp":1637234933000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01327-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,18]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1327"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01327-z","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,18]]},"assertion":[{"value":"4 October 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 November 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by National Hospital Organization Himeji Medical Center Institutional Review Board (no. 2021-5), and the study procedures were initiated only after the patient has provided signed informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"242"}}