Shichiri Yasumasa, Kanno Toru, Oida Tomoyuki, Kanamaru Hiroshi
Department of Urology, Otsu Municipal Hospital, Otsu, Japan.
Int J Urol. 2006 Feb;13(2):192-4. doi: 10.1111/j.1442-2042.2006.01260.x.
We herein describe a simplified technique for performing laparoscopic running urethrovesical anastomosis using Lapra-ty absorbable suture clips (Ethicon, Somerville, NJ, USA) during a laparoscopic radical prostatectomy (LRP). Using two 20 cm absorbable sutures tied together and locked with Lapra-ty at their tail ends, the initiating mattress sutures are placed in the 5:30-6:30-o'clock area between the urethra and the bladder neck. The left and right running sutures are then made clockwise from the 6:30-12-o'clock position and counterclockwise from the 5:30-12-o'clock position, respectively. Both sutures are locked with proper tension by Lapra-ty at the 3, 9 and 12-o'clock positions, and then they are intracorporeally tied together just at the 12-o'clock position. In the initial 20 cases, this anastomosis took 22.5 min on average to perform. We experienced no major urine extravasation and no anastomotic stricture to date.
我们在此描述一种在腹腔镜根治性前列腺切除术（LRP）期间，使用Lapra-ty可吸收缝合夹（美国新泽西州萨默维尔市的Ethicon公司生产）进行腹腔镜连续尿道膀胱吻合术的简化技术。将两根20厘米长的可吸收缝线系在一起，并在其尾端用Lapra-ty锁定，起始褥式缝线置于尿道和膀胱颈之间5:30至6:30点钟区域。然后，左右连续缝线分别从6:30至12:00位置顺时针方向以及从5:30至12:00位置逆时针方向进行缝合。两根缝线在3、9和12点钟位置用Lapra-ty以适当张力锁定，然后在12点钟位置在体内打结系在一起。在最初的20例病例中，这种吻合术平均耗时22.5分钟。迄今为止，我们未遇到严重尿外渗和吻合口狭窄的情况。
