Facilitating the technique of laparoscopic running urethrovesical anastomosis using Lapra-ty absorbable suture clips.
We herein describe a simplified technique for performing laparoscopic running urethrovesical anastomosis using Lapra-ty absorbable suture clips (Ethicon, Somerville, NJ, USA) during a laparoscopic radical prostatectomy (LRP). Using two 20 cm absorbable sutures tied together and locked with Lapra-ty at their tail ends, the initiating mattress sutures are placed in the 5:30-6:30-o'clock area between the urethra and the bladder neck. The left and right running sutures are then made clockwise from the 6:30-12-o'clock position and counterclockwise from the 5:30-12-o'clock position, respectively. Both sutures are locked with proper tension by Lapra-ty at the 3, 9 and 12-o'clock positions, and then they are intracorporeally tied together just at the 12-o'clock position. In the initial 20 cases, this anastomosis took 22.5 min on average to perform. We experienced no major urine extravasation and no anastomotic stricture to date.
Department of Urology, Otsu Municipal Hospital, Otsu, Japan. ysotsumhp@msn.com
Yasumasa
Y
Shichiri
Toru
T
Kanno
Tomoyuki
T
Oida
Hiroshi
H
Kanamaru
D020341:Absorbable Implants; D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D013537:Sutures; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*