国际医药卫生导报2017，Vol.23Issue(12)：1845-1848,4.DOI:10.3760/cma.j.issn.1007-1245.2017.12.010
V-Loc单向倒刺可吸收线在后腹腔镜肾部分切除术中的临床应用
Clinical application of V-Loc unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy
摘要
Abstract
Objective To investigate the feasibility and safety of the application of V-Loc unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy.Methods Between Feb 2013 and Aug 2016,52 cases of retroperitoneoscopic partial nephrectomy were performed in our hospital.All patients were divided into two groups:V-Loc unidirectional barbed absorbable suture group (test group,n=30) and Vicryl polyglactic suture group (control group,n=22).Perioperative and postoperative indicators were compared in the two groups.Results All 52 cases of retroperitoneoscopic partial nephrectomy were successfully performed without conversion to open surgery or severe intraoperative complications.The mean operation time was (88.2±12.9) min in test group and (90.4±10.6) min in control group (P=0.507),the mean suture time were (11.7±2.6) min and (15.5±2.9) min (P＜0.01),the mean warm ischemia time were (24.5±3.0) min and (28.2±4.3) min (P＜0.01),the mean intraoperative blood loss were (77.1±12.7)ml and (90.8±17.1)ml (P＜0.01),the mean postoperative hospital duration were (6.1± 1.9)d and (6.7±1.9)d (P=0.251).The mean GFR was (40.7±11.9) ml/min in test group and (32.0±8.1) ml/min after 3-month of follow-up (P＜0.01).Postoperative follow-up lasted for 5-48 months,without urinary fistule,stone formation,local recurrence,or distant metastasis in both groups.Conclusions The continuous kidney suture with V-Loc unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy could shorten suture time and warm ischemia time,protect renal function,which is feasible and safe and worth popularizing widely.关键词
V-LOC单向倒刺可吸收线/肾部分切除术/后腹腔镜Key words
V-Loc unidirectional barbed absorbable suture/Partial nephrectomy/Retroperitoneoscopy引用本文复制引用
曹嘉正,余新立,廖勇彬,庞健,吴荣海,程洲平,邓硕..V-Loc单向倒刺可吸收线在后腹腔镜肾部分切除术中的临床应用[J].国际医药卫生导报,2017,23(12):1845-1848,4.基金项目
江门市科技计划项目(2013019)Science and Technology Plan Projects of Jiangmen City (2013019) （2013019）
