Department of Urology, Yantai Yuhuangding Hospital , Yantai 264000, China.
Department of Gynecology (ZYL), Yantai Yuhuangding Hospital , Yantai 264000, China.
Int Braz J Urol. 2014 Mar-Apr;40(2):220-4. doi: 10.1590/S1677-5538.IBJU.2014.02.12.
To investigate the safety and feasibility of self-retaining bidirectional barbed absorbable suture application in retroperitoneoscopic partial nephrectomy.
From Sep 2011 and Aug 2012, 76 cases of retroperitoneoscopic partial nephrectomy were performed at our hospital. The patients were divided into two groups: self-retaining barbed suture (SRBS) group (n = 36) and non-SRBS group (n = 40). There was no significant difference in age, sex, tumor size and location between the two groups. Clinical data and outcomes were analyzed retrospectively.
All 76 cases of retroperitoneoscopic partial nephrectomy were successfully performed, without conversion to open surgery or serious intraoperative complications. In the SRBS group, the suture time, warm ischemia time and operation blood loss were significantly shorter than that of non-SRBS group (p < 0.01), and operation time and hospital stay were shorter than that of non-SRBS group (p < 0.05).
The application of self-retaining bidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy could shorten suture time and warm ischemia time, with good safety and feasibility, worthy of being used in clinic.
探讨自固定双向倒刺可吸收缝线在腹膜后腹腔镜肾部分切除术应用的安全性和可行性。
回顾性分析 2011 年 9 月至 2012 年 8 月我院收治的 76 例行腹膜后腹腔镜肾部分切除术患者的临床资料，根据术中是否使用自固定双向倒刺可吸收缝线将患者分为自固定双向倒刺可吸收缝线组（SRBS 组，n=36）和非 SRBS 组（n=40）。比较两组患者的年龄、性别、肿瘤大小及位置等一般资料，观察并记录两组患者手术时间、热缺血时间、术中出血量、术后住院时间、术后并发症等手术相关指标。
76 例患者均顺利完成手术，无中转开放手术病例，无严重手术并发症发生。SRBS 组患者的手术时间、热缺血时间、缝线时间均明显短于非 SRBS 组，术中出血量明显少于非 SRBS 组（P<0.01），手术时间及术后住院时间均短于非 SRBS 组（P<0.05）。
在腹膜后腹腔镜肾部分切除术中应用自固定双向倒刺可吸收缝线有助于缩短手术时间和热缺血时间，安全、可行，值得临床推广应用。
