V—Loc单向倒刺可吸收线在后腹腔镜肾部分切除术中的临床应用  

Clinical application of V-Loc unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy

作　　者：曹嘉正[1] 余新立[1] 廖勇彬[1] 庞健[1] 吴荣海[1] 程洲平[1] 邓硕[1] 

机构地区：[1]中山大学附属江门医院泌尿外科,529070

出　　处：《国际医药卫生导报》2017年第12期1845-1848,共4页International Medicine and Health Guidance News

基　　金：江门市科技计划项目（2013019）

摘　　要：目的探讨V—Loc单向倒刺可吸收线在后腹腔镜。肾部分切除术中应用的可行性与安全性。方法选取2013年2月至2016年8月期间在本院行后腹腔镜肾部分切除手术患者52例，实验组（n=30）采用V—Loc单向倒刺可吸收线连续缝合肾脏；对照组（n=22）采用普通薇乔缝线缝合肾脏。比较两组患者术中缝合时间、肾脏热缺血时间（WIT）、术中出血量、术后住院时间、术后患肾GFR等，并观察术后并发症发生情况。结果52例手术全部顺利完成，无中转开放，未出现严重并发症。实验组和对照组平均手术时间分别为（88．2±12．9）min和（90．4±10．6）min（P=O．507）、平均缝合时间分别为（11．7±2．6）min和（15．5±2．9）min（P〈0．01）、平均WIT分别为（24．5±3．0）min和（28．2±4．3）min（P〈0．01）、术中出血量分别为（77．1±12．7）ml和（90．8±17．1）ml（P〈0．01）、患者术后住院时间分别为（6．1±1．9）d和（6．7±1．9）d（P=O．251）。术后3个月实验组和对照组患。肾GFR分别为（40．7±11．9）ml／min和（32．0±8．1）ml／min（P〈0．01）。术后随访5，48个月，两组术后均无尿漏等相关并发症，无结石形成，无肿瘤局部复发和远处转移。结论在后腹腔镜肾部分切除术中应用V—LOC单向倒刺可吸收线连续缝合肾脏可以明显缩短缝合时间和热缺血时间，保护患肾功能，具有很好的可行性和安全性，值得临床推广。Objective To investigate the feasibility and safety of the application of V-Lot unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy. Methods Between Feb 2013 and Aug 2016, 52 cases of retroperitoneoscopic partial nephrectomy were performed in our hospital. All patients were divided into two groups： V-Loc unidirectional barbed absorbable suture group （test group, n=30） and Vicryl polyglactic suture group （control group, n=22）. Perioperative and postoperative indicators were compared in the two groups. Results All 52 cases of retroperitoneoscopic partial nephrectomy were successfully performed without conversion to open surgery：.or severe intraoperative complications. The mean operation time was （88.2±12.9） min in test group and （90.4±10.6） min in control group （P=-0.507）, the mean suture time were （11.7±2.6） min and （15.5±2.9） min （P〈0.01）, the mean warm ischemia time were （24.5±3.0） min and （28.2±4.3） rain （P〈0.01）, the mean intraoperative blood loss were （77.1±12.7）ml and （90.8±17.1）ml （P〈0.01）, the mean postoperative hospital duration were （6,1±1.9）d and （6.7±1.9）d （P=-0.251）. The mean GFR was （40.7±11.9） ml/min in test group and （32.0±8.1） ml/min after 3-month of follow-up （P〈0.01）. Postoperative follow-up lasted for 5-48 months, without urinary fistule, stone formation, local recurrence, or distant metastasis in both groups. Conclusions The continuous kidney suture with V-Loc unidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy could shorten suture time and warm ischemia time, protect renal function, which is feasible and safe and worth popularizing widely.

关 键 词：V—LOC单向倒剌可吸收线 肾部分切除术 后腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]