Comparison of two different suture techniques in laparoscopic partial nephrectomy
AUTOR(ES)
Kaygisiz, Onur, Çelen, Sinan, Vuruşkan, Berna Aytac, Vuruşkan, Hakan
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2017-10
RESUMO
ABSTRACT Objective: To comparatively evaluate the traditional interrupted knot-tying and running suture renorrhaphy with Monocryl® in laparoscopic partial nephrectomy (LPN). Materials and Methods: A retrospective analysis of 62 consecutive patients undergoing LPN using traditional interrupted knot-tying suture renorrhaphy (Group 1; n=31) or running suture technique renorrhaphy with 2-0 monofilament polyglecaprone (Monocryl®, Ethicon) (Group 2; n=31) from December 2011 to October 2015 at the University. All patients underwent LPN performed by an experienced laparoscopic surgeon. The demographic, perioperative and postoperative parameters were compared between the groups, and the effect of both suture techniques on the warm ischemic time (WIT) and trifecta were evaluated. Results: The running suture renorrhaphy with Monocryl® reduced WIT, estimated blood lost and length of hospitalization stay significantly without increasing postoperative complication rate during LPN in comparison with interrupted knot-tying suture. Conclusion: The renorrhaphy using the running suture with Monocryl® is an effective and safe technique with the advantage of shortening WIT even in more challenging and larger tumors during LPN.
Documentos Relacionados
- Laparoscopic partial nephrectomy for cancer: techniques and outcomes
- Comparison of functional outcomes of off-clamp laparoscopic partial nephrectomy access techniques: A preliminary report
- Alternative techniques to reduce warm ischemia time in laparoscopic partial nephrectomy
- A comparison of hand-assisted and pure laparoscopic techniques in live donor nephrectomy
- Identifying unrecognized collecting system entry and the integrity of repair during open partial nephrectomy: comparison of two techniques