Sano Takeshi, Iguchi Ryo, Asaki Soeda, Kanamaru Sojun, Ito Noriyuki
The Department of Urology, Nishi-Kobe Medical Center.
Hinyokika Kiyo. 2010 Feb;56(2):95-8.
We evaluated the relationship between the type of suture and occurrence of anastomotic stricture after radical retropubic prostatectomy (RRP). From April 2005 to February 2008, 48 RRP were performed. In the former 24 cases, 2-0 absorbable braided sutures were used (group A), and in the latter 24 cases, 3-0 absorbable monofilament sutures were used (group B) in the vesicourethral anastomosis. In group B, operation time was longer, blood loss was less and tumor stage was lower. While five patients in group A developed an anastomotic stricture, but no one in group B developed a stricture. Univariate analysis of the two groups revealed that only the type of suture and age were significant parameters for the anastomotic stricture.
我们评估了耻骨后根治性前列腺切除术（RRP）后缝合类型与吻合口狭窄发生之间的关系。2005年4月至2008年2月，共进行了48例RRP手术。前24例在膀胱尿道吻合术中使用2-0可吸收编织缝线（A组），后24例使用3-0可吸收单丝缝线（B组）。B组手术时间更长，失血量更少，肿瘤分期更低。A组有5例发生吻合口狭窄，而B组无人发生狭窄。两组的单因素分析显示，仅缝合类型和年龄是吻合口狭窄的显著参数。
