The Different Efficacy Of Two Different Sutures Way In Retroperitoneoscopic Partial Nephrectomy

Objective:The current study aimed to evaluate the safety and efficacy of two different Sutures way(2-0 V-loc unilateral barbed absorbable suture line and 2-0 Vicryl Absorbable Sutures lines conjoint Hem-o-lok) in retroperitoneoscopic partial nephrectomy.Methods:Between June.2012 and May.2014,99 cases of retroperitoneoscopic partial nephrectomy were Performed in our hospital.V-loc unilateral barbed absorbable suture line were used in 42 case,including 31 males and 11 females with mean age 59.4 years.The diameter of tumor was 1.3- 4.5cm(mean 2.8cm).In contrast, Vicryl Absorbable Sutures lines were used in 57 case,including 39 males and 18 females with mean age 61.2 years.The diameter of tumor was 1.5- 4.3cm(mean 2.9cm).Es-timated Hb、SCr、operating time、warm ischemic time(WIT) 、blood loss 、hospital stays and postoperative complications were analyzed using Statistics Analysis..Results:All 99 cases of retroperitoneoscopic partial nephrectomy were successfullly performed,without conversion to open surgery and important intraoperative complications.The postoperative hospital stay and SCr of two groups did not differ significantly(P>0.05).The operation time was(93.3±21.3)min and(124.5±22.9) min, respectively;WIT was(12.4±2.1)min and(20.8±3.8)min,respectively;Blood loss was(75.2±21.8)ml and(118±26.2)ml,respectively;.The statistics was different significantly..Conclusion:Two different Sutures way were effectively and safely used in both groups. The application of V-loc unilateral barbed absorbable suture line in retroperitoneoscopic partial nephrectomy can shorten suture time and operation time,with better safety.It may be a new therapeutic strategy for retroperitoneoscopic partial nephrectomy.