Unidirectional barbed suture for vesicourethral anastomosis during laparoscopic radical prostatectomy

Toshikazu Takeda, Akira Miyajima, Gou Kaneko, Masanori Hasegawa, Eiji Kikuchi, Mototsugu Oya

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

INTRODUCTION: We investigated the impact of unidirectional barbed suture (UBS) for vesicourethral anastomosis (VUA) during laparoscopic radical prostatectomy.

METHODS: The polyglyconate UBS V-Loc 180 was used for VUA during laparoscopic radical prostatectomy in 30 consecutive patients who were diagnosed with organ-confined prostate cancer between January and October 2012. The operative and postoperative parameters were then compared with those of 30 consecutive patients who had previously undergone the same procedure but with the monofilament poliglecaprone suture Monocryl. All procedures were performed by the same experienced surgeon.

RESULTS: VUA time was significantly shorter in the V-Loc group (13.2 ± 2.3 min) than in the Monocryl group (19.1 ± 3.3 min) (P < 0.001). The V-Loc group required significantly more stitches than the Monocryl group (11.4 ± 1.3 vs 10.6 ± 1.6 stitches; P = 0.031). The percentage of patients who required no more than one pad per day at 3 months postoperatively was significantly higher in the V-Loc group (63.3%) than in the Monocryl group (23.3%) (P = 0.020). No significant differences in other perioperative parameters were observed between the two groups.

CONCLUSION: Using UBS prevents suture slippage and enables tieless anastomosis. VUA using a UBS may relieve surgeon stress because a rapid and secure anastomosis is achievable.

Original languageEnglish
Pages (from-to)241-245
Number of pages5
JournalAsian journal of endoscopic surgery
Volume7
Issue number3
DOIs
Publication statusPublished - 2014 Aug 1

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Prostatectomy
Sutures
Prostatic Neoplasms
glycolide E-caprolactone copolymer

Keywords

  • Laparoscopic radical prostatectomy
  • unidirectional barbed suture
  • vesicourethral anastomosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Unidirectional barbed suture for vesicourethral anastomosis during laparoscopic radical prostatectomy. / Takeda, Toshikazu; Miyajima, Akira; Kaneko, Gou; Hasegawa, Masanori; Kikuchi, Eiji; Oya, Mototsugu.

In: Asian journal of endoscopic surgery, Vol. 7, No. 3, 01.08.2014, p. 241-245.

Research output: Contribution to journalArticle

Takeda, Toshikazu ; Miyajima, Akira ; Kaneko, Gou ; Hasegawa, Masanori ; Kikuchi, Eiji ; Oya, Mototsugu. / Unidirectional barbed suture for vesicourethral anastomosis during laparoscopic radical prostatectomy. In: Asian journal of endoscopic surgery. 2014 ; Vol. 7, No. 3. pp. 241-245.
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N2 - INTRODUCTION: We investigated the impact of unidirectional barbed suture (UBS) for vesicourethral anastomosis (VUA) during laparoscopic radical prostatectomy.METHODS: The polyglyconate UBS V-Loc 180 was used for VUA during laparoscopic radical prostatectomy in 30 consecutive patients who were diagnosed with organ-confined prostate cancer between January and October 2012. The operative and postoperative parameters were then compared with those of 30 consecutive patients who had previously undergone the same procedure but with the monofilament poliglecaprone suture Monocryl. All procedures were performed by the same experienced surgeon.RESULTS: VUA time was significantly shorter in the V-Loc group (13.2 ± 2.3 min) than in the Monocryl group (19.1 ± 3.3 min) (P < 0.001). The V-Loc group required significantly more stitches than the Monocryl group (11.4 ± 1.3 vs 10.6 ± 1.6 stitches; P = 0.031). The percentage of patients who required no more than one pad per day at 3 months postoperatively was significantly higher in the V-Loc group (63.3%) than in the Monocryl group (23.3%) (P = 0.020). No significant differences in other perioperative parameters were observed between the two groups.CONCLUSION: Using UBS prevents suture slippage and enables tieless anastomosis. VUA using a UBS may relieve surgeon stress because a rapid and secure anastomosis is achievable.

AB - INTRODUCTION: We investigated the impact of unidirectional barbed suture (UBS) for vesicourethral anastomosis (VUA) during laparoscopic radical prostatectomy.METHODS: The polyglyconate UBS V-Loc 180 was used for VUA during laparoscopic radical prostatectomy in 30 consecutive patients who were diagnosed with organ-confined prostate cancer between January and October 2012. The operative and postoperative parameters were then compared with those of 30 consecutive patients who had previously undergone the same procedure but with the monofilament poliglecaprone suture Monocryl. All procedures were performed by the same experienced surgeon.RESULTS: VUA time was significantly shorter in the V-Loc group (13.2 ± 2.3 min) than in the Monocryl group (19.1 ± 3.3 min) (P < 0.001). The V-Loc group required significantly more stitches than the Monocryl group (11.4 ± 1.3 vs 10.6 ± 1.6 stitches; P = 0.031). The percentage of patients who required no more than one pad per day at 3 months postoperatively was significantly higher in the V-Loc group (63.3%) than in the Monocryl group (23.3%) (P = 0.020). No significant differences in other perioperative parameters were observed between the two groups.CONCLUSION: Using UBS prevents suture slippage and enables tieless anastomosis. VUA using a UBS may relieve surgeon stress because a rapid and secure anastomosis is achievable.

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