杨帅, 李庆文, 陈志军, 汪盛, 张家俊. 单向倒刺缝线在后腹腔镜下肾部分切除术中的应用价值[J]. 蚌埠医科大学学报, 2017, 42(6): 722-724. DOI: 10.13898/j.cnki.issn.1000-2200.2017.06.007
    引用本文: 杨帅, 李庆文, 陈志军, 汪盛, 张家俊. 单向倒刺缝线在后腹腔镜下肾部分切除术中的应用价值[J]. 蚌埠医科大学学报, 2017, 42(6): 722-724. DOI: 10.13898/j.cnki.issn.1000-2200.2017.06.007
    YANG Shuai, LI Qing-wen, CHEN Zhi-jun, WANG Sheng, ZHANG Jia-jun. The application value of one-way barbed suture in retroperitoneal laparoscopic partial nephrectomy[J]. Journal of Bengbu Medical University, 2017, 42(6): 722-724. DOI: 10.13898/j.cnki.issn.1000-2200.2017.06.007
    Citation: YANG Shuai, LI Qing-wen, CHEN Zhi-jun, WANG Sheng, ZHANG Jia-jun. The application value of one-way barbed suture in retroperitoneal laparoscopic partial nephrectomy[J]. Journal of Bengbu Medical University, 2017, 42(6): 722-724. DOI: 10.13898/j.cnki.issn.1000-2200.2017.06.007

    单向倒刺缝线在后腹腔镜下肾部分切除术中的应用价值

    The application value of one-way barbed suture in retroperitoneal laparoscopic partial nephrectomy

    • 摘要: 目的:评价单向倒刺缝线与传统可吸收缝线在后腹腔镜下肾部分切除术中的安全性及有效性。方法:60例肾癌病人,TNM分期为T1N0M0,均行后腹腔镜下肾部分切除术。对照组30例使用传统可吸收缝线缝合肾脏,观察组30例使用新型单向倒刺缝线(V-LocTM)缝合肾脏。结果:观察组和对照组的热缺血时间分别为(19.3±3.9)min和(23.5±5.1)min,差异有统计学意义(P<0.01)。2组病人在手术时间、术后住院时间、并发症发生率方面差异均无统计学意义(P>0.05)。结论:后腹腔镜下肾部分切除术中使用V-LocTM可明显缩短术中缝合时间和肾脏热缺血时间,保护肾功能,安全性和有效性更高。

       

      Abstract: Objective: To evaluate the safety and efficacy of the conventional absorbable suture and one-way barbed suture in retroperitoneal laparoscopic partial nephrectomy(LPN). Methods: Sixty renal cell carcinoma patients with stage T1N0M0 were treated with LPN.The kidney in observation group(30 cases) and control group(30 cases) were sutured with one-way barbed suture(V-LocTM) and conventional absorbable suture,respectively. Results: The warm ischemia time in observation group and control group were(19.3±3.9)min and(23.5±5.1)min,respectively,the difference of which was statistically significant(P<0.01).The differences of the operation time,postoperative hospital stay and incidence rate of complication between two groups were not statistically significant(P>0.05). Conclusions: The application of one-way barbed suture in retroperitoneal LPN can significantly reduce the suture and warm ischemia time of kidney,protect the kidney,and is high safety and efficacy.

       

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