Adjustable "paper clip" techniques suturing the dorsal vein complex in radical prostatectomy
- VernacularTitle:可调式“回形针”法缝合背深静脉复合体在机器人辅助腹腔镜前列腺癌根治术中的应用
- Author:
Yang CHEN
1
;
Fangxing ZHANG
1
;
Tianyu LI
1
;
Chengyang LI
1
;
Deyun LIU
1
;
Haibiao YAN
1
;
Zhanbin YANG
1
;
Hua MI
1
;
Linjian MO
1
;
Naikai LIAO
1
;
Shubo YANG
1
;
Jiwen CHENG
1
Author Information
- Publication Type:Journal Article
- Keywords: robot-assisted laparoscopic radical prostatectomy; adjustable "paper clip" techniques; dorsal vein complex; urinary continence; functional urethra
- From: Journal of Modern Urology 2023;28(8):707-712
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To investigate the efficacy of the adjustable "paper clip" techniques in the suture of dorsal vein complex (DVC) and retention of urethral function in robot-assisted laparoscopic radical prostatectomy (RALRP). 【Methods】 A total of 30 cases of prostate cancer treated with RALRP were enrolled, all of which used the adjustable "paper clip" techniques. During operation, the DVC was sewed with barbed suture, and then a reverse suture was made through two sides of the prostatic ligaments. A Hem-o-lock was used to fasten the suture, which would be flexible to control the degree of tightness for the ligature. Perioperative and follow-up data of urinary continence and symptoms were collected and analyzed. 【Results】 All operations were successful. The estimated blood loss was (123.3±80.7) mL, 53.6% patients recovered continence in 1 month, and the continence rate increased to 92.9% and 96.3% at month 3 and 6. 92.9 of patients had no risk of incontinence 3 months after surgery. 【Conclusion】 The adjustable "paper clip" techniques have advantages in reducing blood loss, maintaining clear surgical field, preserving urethral function, and improving urinary continence.
