Premium
Unidirectional barbed suture for vesicourethral anastomosis during laparoscopic radical prostatectomy
Author(s) -
Takeda Toshikazu,
Miyajima Akira,
Kaneko Gou,
Hasegawa Masanori,
Kikuchi Eiji,
Oya Mototsugu
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12115
Subject(s) - medicine , barbed suture , anastomosis , prostatectomy , laparoscopic radical prostatectomy , fibrous joint , perioperative , surgery , urology , prostate cancer , cancer
We investigated the impact of unidirectional barbed suture ( UBS ) for vesicourethral anastomosis ( VUA ) during laparoscopic radical prostatectomy. Methods The polyglyconate UBS V ‐ L oc 180 was used for VUA during laparoscopic radical prostatectomy in 30 consecutive patients who were diagnosed with organ‐confined prostate cancer between J anuary and O ctober 2012. The operative and postoperative parameters were then compared with those of 30 consecutive patients who had previously undergone the same procedure but with the monofilament poliglecaprone suture M onocryl. All procedures were performed by the same experienced surgeon. Results VUA time was significantly shorter in the V ‐ L oc group (13.2 ± 2.3 min) than in the M onocryl group (19.1 ± 3.3 min) ( P < 0.001). The V ‐ L oc group required significantly more stitches than the M onocryl group (11.4 ± 1.3 vs 10.6 ± 1.6 stitches; P = 0.031). The percentage of patients who required no more than one pad per day at 3 months postoperatively was significantly higher in the V ‐ L oc group (63.3%) than in the M onocryl group (23.3%) ( P = 0.020). No significant differences in other perioperative parameters were observed between the two groups. Conclusion Using UBS prevents suture slippage and enables tieless anastomosis. VUA using a UBS may relieve surgeon stress because a rapid and secure anastomosis is achievable.