Assessing the Impact of Barbed Suture on Vesicourethral Anastomosis During Minimally Invasive Radical Prostatectomy: A Systematic Review and Meta-analysis

被引:20
作者
Bai, Yunjin [1 ]
Pu, Chunxiao [1 ]
Yuan, Haichao [1 ]
Tang, Yin [1 ]
Wang, Xiaoming [1 ]
Li, Jinhong [1 ]
Wei, Qiang [1 ]
Han, Ping [1 ]
机构
[1] Sichuan Univ, Dept Urol, West China Hosp, Chengdu 610041, Sichuan, Peoples R China
基金
中国国家自然科学基金;
关键词
ROBOT-ASSISTED PROSTATECTOMY; RANDOMIZED CONTROLLED-TRIAL; BLADDER NECK CONTRACTURE; URETHROVESICAL ANASTOMOSIS; POSTERIOR RECONSTRUCTION; STANDARD MONOFILAMENT; POLYGLYCONATE; TIME; CONTINENCE; EXPERIENCE;
D O I
10.1016/j.urology.2015.02.033
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To examine the effectiveness of barbed suture (BS) compared with conventional sutures for vesicourethral anastomosis (VUA) during minimally invasive radical prostatectomy (RP). METHODS Relevant studies comparing the safety and efficacy of BS with conventional sutures during minimally invasive RP were identified through a literature search using MEDLINE, EMBASE, and the Cochrane Library. The outcome measures included baseline characteristics, primary outcomes, and secondary outcomes. RESULTS Ten studies (378 cases and 369 controls) were included. No significant differences between the 2 groups were detected in any of the baseline variables except for age (P = .02). The BS group had a shorter operation time (mean difference [MD], 10.54; 95% confidence interval [CI], -14.38 to -6.69; P<.01), a shorter VUA time (MD, -5.35; 95% CI, -7.44 to +/- 3.25; P<.01), and a shorter posterior reconstruction time (MD, -0.56; 95% CI, -1.10 to -0.02; P = .04) than those in the conventional sutures group. No significant differences were detected between the 2 groups in other outcomes of interest. In subgroup and sensitivity analyses, there was no change in the significance of any of the outcomes. CONCLUSION This meta-analysis indicates that VUA using BS as opposed to conventional suture is associated with a shorter operative time, comparable postoperative complication rate, and convenience for manipulation, which is of benefit to the surgeon learning robot-assisted RP and laparoscopic RP. Given that the inherent limitations, future well-designed randomized controlled trials are required to confirm our findings. (C) 2015 Elsevier Inc.
引用
收藏
页码:1368 / 1375
页数:8
相关论文
共 27 条
  • [1] [Anonymous], EUR UROL S
  • [2] Comparison of the urethrovesical anastomoses with polyglecaprone (Monocryl (R)) and bidirectional barbed (V-Loc 180 (R)) running sutures in laparoscopic radical prostatectomy
    Arslan, Murat
    Tuncel, Altug
    Aslan, Yilmaz
    Kozacioglu, Zafer
    Gunlusoy, Bulent
    Atan, Ali
    [J]. ARCHIVIO ITALIANO DI UROLOGIA E ANDROLOGIA, 2014, 86 (02) : 90 - 94
  • [3] Anterior and Posterior Reconstruction Technique and Its Impact on Early Return of Continence After Robot-Assisted Radical Prostatectomy
    Atug, Fatih
    Kural, Ali Riza
    Tufek, Ilter
    Srivastav, Sudesh
    Akpinar, Haluk
    [J]. JOURNAL OF ENDOUROLOGY, 2012, 26 (04) : 381 - 386
  • [4] Vesicourethral anastomosis using V-Loc (TM) barbed suture during robot-assisted radical prostatectomy
    Chapman, Stephen
    Turo, Rafal
    Cross, William
    [J]. CENTRAL EUROPEAN JOURNAL OF UROLOGY, 2011, 64 (04) : 236 - 236
  • [5] Early Complication Rates in a Single-Surgeon Series of 2500 Robotic-Assisted Radical Prostatectomies: Report Applying a Standardized Grading System
    Coelho, Rafael F.
    Palmer, Kenneth J.
    Rocco, Bernardo
    Moniz, Ravendra R.
    Chauhan, Sanket
    Orvieto, Marcelo A.
    Coughlin, Geoff
    Patel, Vipul R.
    [J]. EUROPEAN UROLOGY, 2010, 57 (06) : 945 - 952
  • [6] The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions
    Downs, SH
    Black, N
    [J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1998, 52 (06) : 377 - 384
  • [7] Systematic Review and Meta-analysis of Studies Reporting Urinary Continence Recovery After Robot-assisted Radical Prostatectomy
    Ficarra, Vincenzo
    Novara, Giacomo
    Rosen, Raymond C.
    Artibani, Walter
    Carroll, Peter R.
    Costello, Anthony
    Menon, Mani
    Montorsi, Francesco
    Patel, Vipul R.
    Stolzenburg, Jens-Uwe
    Van der Poel, Henk
    Wilson, Timothy G.
    Zattoni, Filiberto
    Mottrie, Alexandre
    [J]. EUROPEAN UROLOGY, 2012, 62 (03) : 405 - 417
  • [8] Impact of newer unidirectional and bidirectional barbed suture on vesicourethral anastomosis during robot-assisted radical prostatectomy and its comparison with polyglecaprone-25 suture: an initial experience
    Hemal, Ashok K.
    Agarwal, Mayank Mohan
    Babbar, P.
    [J]. INTERNATIONAL UROLOGY AND NEPHROLOGY, 2012, 44 (01) : 125 - 132
  • [9] Surgeon experience is strongly associated with biochemical recurrence after radical prostatectomy for all preoperative risk categories
    Klein, Eric A.
    Bianco, Fernando J.
    Serio, Angel M.
    Eastham, James A.
    Kattan, Michael W.
    Pontes, J. Edson
    Vickers, Andrew J.
    Scardino, Peter T.
    [J]. JOURNAL OF UROLOGY, 2008, 179 (06) : 2212 - 2216
  • [10] Vesicourethral anastomotic strictures after radical retropubic prostatectomy: The experience of a single institution
    Kostakopoulos, A
    Argiropoulos, V
    Protogerou, V
    Tekerlekis, P
    Melekos, M
    [J]. UROLOGIA INTERNATIONALIS, 2004, 72 (01) : 17 - 20