Influence of suture technique on anastomotic complication in laparoscopic radical ;prostatectomy
10.3760/cma.j.jssn.1673-4904.2016.09.020
- VernacularTitle:腹腔镜下前列腺根治性切除术中吻合技术对吻合口并发症的影响
- Author:
Zhanfeng GAO
;
Wei WANG
;
Guanghai YU
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Laparoscopic radical prostatectomy;
Anastomosis,surgical;
Complication
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(9):832-837
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of different urethrovesical anastomosis methods on postoperative anastomotic complication in laparoscopic radical prostatectomy (LRP). Methods The clinical method of 121 patients with localized prostate cancer who underwent LRP from June 2012 to June 2015 was retrospectively analyzed. The patients were divided into two groups according to different urethrovesical anastomosis methods: interrupted suture group with 36 patients and continuous suture group with 85 patients. The operation time, postoperative anastomosis leakage, anastomosis stenosis and urinary control status 1, 3 and 6 month after operation were compared between two groups. Results All the operations were completed successfully without converting to open approach. The operating time of continuous suture group and interrupted suture group was (20.35 ± 3.10)min and (34.02 ± 3.94) min, the rate of postoperative anastomosis leakage was 3.53%(3/85) and 16.67%(6/36), the rate of anastomosis stenosis was 2.35%(2/85) and 13.89%(5/36), the rate of urinary incontinence after operation for 1 month was 15.29%(13/85) and 33.33%(12/36), for 3 months was 7.06%(6/85) and 25.00%(9/36), for 6 months was 2.35% (2/85) and 13.89% (5/36), there were significant differences (P<0.05). Conclusions Continuous suture can shorten operation time, decrease the risk of anastomotic leakage, anastomosis stenosis and urinary incontinence.
