Single barbed suture for vesicourethral anastomosis during extraperitoneal laparoscopic radical prostatectomy
We aim of our study is to investigate and analyze the impact of single barbed suture (SBS) for vesicourethral anastomosis (VUA) during extraperitoneal laparoscopic radical prostatectomy for lacalized prostate cancer.
The polyglyconate SBS V-Loc was used for VUA during extraperitoneal laparoscopic radical prostatectomy in 60 patients who were diagnosed with organ-confined prostate cancer between January 2010 and Dicember 2014. The operative and postoperative parameters were then compared with those of 60 patients who had previously undergone the same procedure but with the monofilament poliglecaprone suture Monocryl. All procedures were performed by the same experienced surgeon.
VUA time was significantly shorter in the V-Loc group (20.2 ± 2.8 min) than in the Monocryl group (27.1 ± 4.3 min) (P < 0.001). The percentage of patients who required no more than one pad per day at 3 months postoperatively was the same in the V-Loc group (63.3%) and in the Monocryl group (56.3%) (P = 0.043). No significant differences in other perioperative parameters were observed between the two groups and no clinically rilevant stenosys of the vescicouretral were detected. CONCLUSION: Using single barbed suture (SBS) prevents suture slippage and enables tieless anastomosis. vesicourethral anastomosis (VUA) using a SBS may relieve surgeon stress because a rapid and secure anastomosis is achievable. ==fine abstract==