Yajima Shugo, Nakanishi Yasukazu, Matsumoto Shunya, Ookubo Naoya, Tanabe Kenji, Masuda Hitoshi
National Cancer Center Hospital East, Chiba, Japan.
Urol Case Rep. 2021 Oct 22;40:101916. doi: 10.1016/j.eucr.2021.101916. eCollection 2022 Jan.
The barbed suture e.g. V-Loc™, are occasionally used in urological surgery due to the practical advantage of omitting the need for surgical knots and reducing surgical time. In this report, an 83-year-old man diagnosed as having invasive bladder cancer underwent robot-assisted radical cystectomy: on the thirteenth postoperative day, he was diagnosed as having strangulated ileus of the small bowel. The small bowel was strangulated by bands formed between the stump of V-Loc™ and the fatty appendices of the sigmoid colon. This is the first report of a small bowel ileus associated with the barbed suture in the field of urology.
倒刺缝线（如V-Loc™）由于无需手术打结且能减少手术时间的实际优势，偶尔会用于泌尿外科手术。在本报告中，一名83岁被诊断为浸润性膀胱癌的男性接受了机器人辅助根治性膀胱切除术：术后第13天，他被诊断为小肠绞窄性肠梗阻。小肠被V-Loc™残端与乙状结肠脂肪垂之间形成的束带绞窄。这是泌尿外科领域中首例与倒刺缝线相关的小肠肠梗阻报告。
