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目的对比两种不同缝合方式在后腹腔镜肾部分切除术(LPN)中的疗效。方法 99例肾细胞癌(RCC)患者采用LPN治疗,随机分为两组。V-loc单向倒刺可吸收线组42例(采用2-0 V-loc单向倒刺可吸收线连续缝合技术),Vicryl可吸收线组57例(采用2-0 Vicryl可吸收线联合Hem-o-lok的无结连续缝合技术)。对两种术式手术时间、热缺血时间、术中平均出血量、术后住院时间、术后并发症发生率等进行统计分析。结果 99例患者手术均获成功,无中转开放。两组手术时间分别为(94.0±29.0)min和(109.0±26.0)min,热缺血时间分别为(13.0±2.6)min和(21.0±3.4)min,术中出血量分别为(82.0±20.0)ml和(118.0±22.0)ml,组间比较差异均有统计学意义(P<0.05)。所有患者手术切缘均为阴性。结论 V-loc单向倒刺可吸收线在后腹腔镜肾部分切除术中应用能够明显缩短缝合时间和手术时间,并未导致手术并发症增加,具有良好的安全性。
Objective To compare the efficacy of two different suture methods in retroperitoneal nephrectomy (LPN). Methods Ninety-nine patients with renal cell carcinoma (RCC) were treated with LPN and were randomly divided into two groups. V-loc unidirectional barbs absorbable line group of 42 patients (using 2-0 V-loc unidirectional barbs absorbable suture continuous suture technology), Vicryl absorbable line group of 57 patients (using 2-0 Vicryl absorbable line combination Hem-o-lok’s knotless continuous suture technique). The operation time, warm ischemia time, average intraoperative blood loss, postoperative hospital stay, incidence of postoperative complications and so on were analyzed statistically. Results 99 patients were successful in surgery, no transit open. The operative time of the two groups were (94.0 ± 29.0) min and (109.0 ± 26.0) min respectively, and the durations of warm ischemia were (13.0 ± 2.6) min and (21.0 ± 3.4) min respectively. The intraoperative blood loss were (82.0 ± 20.0) ) ml and (118.0 ± 22.0) ml, respectively. There was significant difference between the two groups (P <0.05). Surgical margin was negative in all patients. Conclusion The application of V-loc unidirectional barbed absorption line in retroperitoneal partial nephrectomy can shorten the time of suture and operation, which has not caused the increase of surgical complications and has good safety.