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首页> 外文期刊>Journal of International Medical Research >Comparison between a novel knotless technique and the conventional single knot technique of laparoscopic radical prostatectomy by novice laparoscopists
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Comparison between a novel knotless technique and the conventional single knot technique of laparoscopic radical prostatectomy by novice laparoscopists

机译:腹腔镜新手腹腔镜根治性前列腺切除术的新型无结技术与常规单结技术的比较

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摘要

Objectives This study aimed to investigate a novel knotless technique for novice laparoscopists in traditional laparoscopic radical prostatectomy. Methods We studied 68 patients who had a novel technique performed in laparoscopic radical prostatectomy (knotless group) and 89 who had the conventional single knot technique (single knot group). The operations were all performed by novice laparoscopists with experience of fewer than 100 cases of laparoscopic radical prostatectomy. Knotless suture of the dorsal vein complex was conducted using a barbed self-retaining suture with three bites at the same location. The knotless urethrovesical anastomosis technique was conducted using a unidirectional single running fashion with a barbed self-retaining suture. Results There were no significant differences in the estimated blood loss, complication rate, postoperative hospital stay, anastomotic leakage rate, continence at 6 months after surgery, and positive margin rate between the two groups. The mean anastomotic time (24.9 vs. 44.2 min), operative time (168.1 vs. 201.8 min), and duration of catheter placement (12.8 vs. 19.8 days) were shorter in the knotless group than in the single-knot group. Conclusions The knotless technique of laparoscopic radical prostatectomy is a safe and effective procedure.
机译:目的本研究旨在研究传统腹腔镜前列腺癌根治术中新手腹腔镜医师的无结技术。方法我们研究了68例行腹腔镜前列腺癌根治术的新技术(无结组)和89例采用常规单结技术(单结组)的患者。所有手术均由经验不足100例腹腔镜前列腺癌根治术的新腹腔镜医师完成。使用带刺的自固定缝合线在同一位置进行三口咬合,进行背静脉复合物的无结缝合。无结尿道膀胱吻合术采用带刺的自固定缝合线的单向单行方式进行。结果两组之间的估计失血量,并发症发生率,术后住院时间,吻合口漏率,术后6个月的尿失禁率和阳性切缘率均无显着差异。与无结组相比,无结组的平均吻合时间(24.9 vs. 44.2 min),手术时间(168.1 vs. 201.8 min)和导管放置时间(12.8 vs. 19.8天)要短。结论腹腔镜前列腺癌根治术是一种安全有效的手术方法。

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