The Use of Self-Retaining Barbed Suture for Inner Layer Renorrhaphy Significantly Reduces Warm Ischemia Time in Laparoscopic Partial Nephrectomy: Outcomes of a Matched-Pair Analysis

Erdem, Selçuk; Tefik, Tzevat; Mammadov, Anar; Ural, Feyyaz; Oktar, Tayfun; İşsever, Halim; Nane, I.; Şanlı, Öner

doi:10.1089/end.2012.0574

Cited by 27 publications

(20 citation statements)

References 39 publications

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“…Sütürün sonunda hazır bir düğüm vardır ve iplik üzerindeki ince dikenler sütürün kaymasınıönler. Laparoskopik parsiyel nefrektomide parankimal kanamanın kontrolün-de etkili olduğu, ameliyat süresini kısalttığı bir çok ça-lışmada gösterilmiştir [25,26]. Olweny ve arkadaşları yaptıkları çalışmada bu sütürün kullanımının sıcak iskemi üzerine etkisini araştırmış ve sıcak iskemi süre-sinin anlamlı olarak daha kısa olduğunu göstermişler-dir(26,4 dk, p=0.0013).…”

Section: Kitle Eksizyonuunclassified

Laparoscopic Nephron Sparing Nephrectomy

Malkoç¹

2015

Surgical Treatment of Metastatic Renal Cell Carcinoma

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Derman Tıbbi Yayıncılık 55 GİRİŞ Böbrek tümörleri, genitoüriner sistem kanserleri gü-rülme sıklığı ve genitoüriner sistem kanserlerine bağlı-mortalitede üçüncüsırada yeralmaktadır [1]. Geçmişte büyük, semptomatik ve sıklıkla invaziv veya metastatik böbrek kitleleri olarak karşımıza çıkan böbrek tümör-leri günümüzde radyolojik tanıyöntemlerinin kullanım sıklığında artış ile birlikte rastlantısal olarak saptanan asemptomatik, küçük boyutlu böbrek kitleleri olarak karşımıza çıkmaktadır. Bununla birlikte günümüz-de böbrek kanserlerinin tedavisi, özellikle küçük böb-rek kitlelerine (KBK) yaklaşım kriterleri değişim gös-termiştir. KBK'leri genellikle 4 cm'den küçük, yavaş biyolojik davranışlı, düşük evre ve derecedeki kitleler olarak tanım-lanmaktadır [2] ve bu kitleler nefron koruyucu cerrahiye uygun olan kitlelerdir. Güncel çalışmalar düşük böb-rek fonksiyonları ile artmış kardiovasküler risk ve mortalite arasında güçlü bir bağlantı olduğunu göstermek-tedir [3]. Onkolojik cerrahide böbrek fonksiyonlarının korunmasıönem arz etmektedir ve bu nedenle parsiyel nefrektomi endikasyonları gün geçtikçe gelişmek-tedir [4].

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Section: Kitle Eksizyonuunclassified

Laparoscopic Nephron Sparing Nephrectomy

Malkoç¹

2015

Surgical Treatment of Metastatic Renal Cell Carcinoma

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“…Median operating time was 270 minutes, and median blood loss was 150 mL. Median WIT was 20 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) minutes and median hospital stay was 3 days. One patient developed postoperative hemorrhage and pulmonary embolism.…”

Section: Less/notes Pnmentioning

confidence: 99%

Laparoscopic partial nephrectomy: state of the art review

Faiena¹,

Han²,

Olweny³

2014

OAS

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Introduction:The surgical management of small renal masses (,4 cm) has greatly evolved over the last few decades, with the paradigm shifting from radical to partial nephrectomy. Laparoscopic partial nephrectomy (LPN) is increasingly utilized, and has achieved similar outcomes to open partial nephrectomy with decreased patient morbidity in experienced hands. The aim of this review was to examine the current status and future direction of LPN. Materials and methods:We performed a nonsystematic review of the literature using a free-text protocol in the PubMed database, using the terms "laparoscopic partial nephrectomy", "robotassisted partial nephrectomy", "robotic partial nephrectomy", and "laparoscopic partial nephrectomy oncologic and functional outcomes". Only English language articles were selected. Evidence synthesis: Our search results yielded 1,136. Three authors reviewed the results, and articles with information on patient and tumor selection, surgical techniques, and oncologic and functional outcomes were included. With regard to outcomes, only series with the largest cohorts and longest follow-up were selected. Conclusion: LPN has evolved rapidly over the past 2 decades, and advances in technique as well as innovations in surgical technologies have facilitated its increased adoption in urologic practice. However, limitations remain, such as inadequacy of techniques to achieve cold ischemia laparoscopically, high technical demands of intracorporeal suturing, and limited ability to assess surgical anatomy beyond the field of view. These comprise goals of research aimed at improving future surgical precision and outcomes, while further decreasing the invasiveness of LPN.

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“…It is important to determine the laparoscopic suture technique in PN that minimizes WIT. Different suture materials and techniques have been suggested to speed up the reconstruction under warm ischemia ( 9 - 12 ). A limited number of studies compared the suture techniques using PDS II, self-retaining barbed sutures, and polyglactin sutures ( 8 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of two different suture techniques in laparoscopic partial nephrectomy

Kaygısız

Çelen²,

Vuruşkan

et al. 2017

Int. braz j urol.

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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.

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The Use of Self-Retaining Barbed Suture for Inner Layer Renorrhaphy Significantly Reduces Warm Ischemia Time in Laparoscopic Partial Nephrectomy: Outcomes of a Matched-Pair Analysis

Abstract: The SRBS significantly reduced inner layer renorrhaphy time and WIT during LPN and may enable urologists to perform LPN in more challenging and larger tumors, in comparison with conventional polyglactin suture.

Cited by 27 publications

References 39 publications

Laparoscopic Nephron Sparing Nephrectomy

Laparoscopic Nephron Sparing Nephrectomy

Laparoscopic partial nephrectomy: state of the art review

Comparison of two different suture techniques in laparoscopic partial nephrectomy

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