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Vesicourethral anastomosis during laparoscopic radical prostatectomy: the running suture method.

Authors
  • Hoznek, A
  • Salomon, L
  • Rabii, R
  • Ben Slama, M R
  • Cicco, A
  • Antiphon, P
  • Abbou, C C
Type
Published Article
Journal
Journal of endourology / Endourological Society
Publication Date
Nov 01, 2000
Volume
14
Issue
9
Pages
749–753
Identifiers
PMID: 11110570
Source
Medline
License
Unknown

Abstract

Vesicourethral reconstruction is the most critical and time-consuming step of laparoscopic radical prostatectomy. We describe the use of two hemicircumferential running sutures that has significantly simplified the procedure in our last 30 patients. The vesicourethral reconstruction took 31 minutes on average. Six months postoperatively, 84% of the patients were fully continent, and no bladder neck stenosis had occurred. The economy of intracorporeal suturing provided by this novel method, together with geometric factors such as the optimal position of the trocars, contributes to the improvement of ergonomy, allowing the surgeon to decrease operating times.

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