Comparison of two different suture techniques in laparoscopic partial nephrectomy

Vol. 43 (x): 2017 May 5.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2016.0550


ORIGINAL ARTICLE

Onur Kaygisiz 1, Sinan Çelen 2, Berna Aytac Vuruşkan 3, Hakan Vuruşkan 1
1 Department of Urology, Uludag University, Faculty of Medicine, Bursa, Turkey; 2 Afyon Sandikli Government Hospital, Afyon, Turkey; 3 Department of Surgical Pathology, Faculty of Medicine, Uludag University, Bursa, Turkey

ABSTRACT

Objective: To comparatively evaluate the traditional interrupted knot-tying and run­ning suture renorrhaphy with Monocryl® in laparoscopic partial nephrectomy (LPN).

Materials and Methods: A retrospective analysis of 62 consecutive patients undergo­ing LPN using traditional interrupted knot-tying suture renorrhaphy (Group 1; n=31) or running suture technique renorrhaphy with 2-0 monofilament polyglecaprone (Monocryl®, Ethicon) (Group 2; n=31) from December 2011 to October 2015 at the University. All patients underwent LPN performed by an experienced laparoscopic sur­geon. The demographic, perioperative and postoperative parameters were compared between the groups, and the effect of both suture techniques on the warm ischemic time (WIT) and trifecta were evaluated.

Results: The running suture renorrhaphy with Monocryl® reduced WIT, estimated blood lost and length of hospitalization stay significantly without increasing postoperative complication rate during LPN in comparison with interrupted knot-tying suture.

Conclusion: The renorrhaphy using the running suture with Monocryl® is an effective and safe technique with the advantage of shortening WIT even in more challenging and larger tumors during LPN.

Keywords: Nephrectomy; Laparoscopy; Suture Techniques

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