Safety tips for pulmonary artery management using clipping combined with an energy device: a surgical technique in robotic-assisted thoracic surgery
Hiromitsu Domen, Takumi Nakaya, Hidehisa Yamada · 2026
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Description
Hiromitsu Domen, Takumi Nakaya, and Hidehisa Yamada share safety tips, in a 2026 technique article, for handling small lung artery branches during robotic chest surgery. The robot gives a view and nimble tools, yet sealing these vessels is one of the riskiest steps. Heat-sealing tools can leak or burn nearby tissue, while clips alone are fiddly in tight fields. Their method joins both: clip first, then heat sealing.
After the branch is freed, a plastic locking clip is placed near its base, leaving a safe gap. The vessel is then sealed and cut beyond the clip with a heated tool. Care goes into clip position, the spacing before the seal, and easing the clip tool out safely. The method served 41 small branches across 28 patients, with no bleeding during surgery and no method harm. The clip acts as a backup if a seal fails.
Catalog record
| CREATOR | Hiromitsu Domen, Takumi Nakaya, Hidehisa Yamada |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 24016 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |