Van Velthoven Roland F, Ahlering Thomas E, Peltier Alexandre, Skarecky Douglas W, Clayman Ralph V
Department of Urology, Jules Bordet Institute, Université Libre de Bruxelles, Brussels, Belgium.
Urology. 2003 Apr;61(4):699-702. doi: 10.1016/s0090-4295(02)02543-8.
To describe a technique for facilitating the urethrovesical anastomosis at the time of laparoscopic radical prostatectomy.
Two 6-in. polyglycolic acid sutures (one dyed, one white) are tied together at their tail ends and delivered into the operative field by way of a 12-mm port. A running suture is completed from the 6:30 to the 12:00-o'clock position and from the 5:30 to the 12:00-o'clock position, at the end of which a single intracorporeal tie is completed. The catheter is placed before completing the anterior row of sutures; the catheter is left in place for 5 to 7 days.
This anastomotic technique has been used in 122 laparoscopic radical prostatectomies and 8 robot-assisted laparoscopic radical prostatectomies. The average time for the anastomosis was 35 minutes (range 14 to 80). All anastomoses were watertight. No symptomatic postoperative urinary leaks have occurred, and no clinically evident clinical bladder neck contractures resulted.
We describe a simple, watertight, running laparoscopic suture technique for accomplishing the urethrovesical anastomosis during laparoscopic radical prostatectomy.
描述一种在腹腔镜根治性前列腺切除术时促进尿道膀胱吻合的技术。
将两根6英寸的聚乙醇酸缝线（一根染色，一根白色）在其尾端系在一起，通过一个12毫米的端口送入手术视野。从6:30至12:00位置以及从5:30至12:00位置完成连续缝合，最后完成一个体内结扎。在完成前排缝合之前放置导尿管；导尿管留置5至7天。
这种吻合技术已用于122例腹腔镜根治性前列腺切除术和8例机器人辅助腹腔镜根治性前列腺切除术。吻合的平均时间为35分钟（范围14至80分钟）。所有吻合口均无渗漏。术后未发生有症状的尿漏，也未导致临床上明显的膀胱颈挛缩。
我们描述了一种简单、无渗漏的腹腔镜连续缝合技术，用于在腹腔镜根治性前列腺切除术期间完成尿道膀胱吻合。
