[Technique of running urethrovesical anastomosis during radical laparoscopic prostatectomy: separate application of two needles].
OBJECTIVE
To study the value and feasibility of a novel method of urethrovesical anastomosis during radical laparoscopic prostatectomy.


METHODS
From 2008 to 2009, 10 patients with local prostate cancer (LPC) underwent radical laparoscopic prostatectomy through the placement of two separate needles for running urethrovesical anastomosis. The first step comprised the first stitch placed in the posterior wall of anastomosis (at 4 o'clock) and then clockwise running suture from 4 to 12 o'clock position. The next steps entailed another needle, stitching at 3 o'clock position and counterclockwise running suture. Two sutures would meet at 12 o'clock position for the third and final knot. When the position of urinary leak was observed, an additional suture would be performed.


RESULTS
This technique was performed in 10 patients with a mean anastomosis duration of 30 minutes (range: 25 - 45) and a mean operative duration of 220 minutes (range: 200 - 300). The Foley catheter was implanted for 14 days. Neither bladder neck stricture nor urinary leak was observed with a follow-up period of 3 - 24 months.


CONCLUSIONS
The described technique is a feasible and safe method for urethrovesical anastomosis with a low rate of complications. And it may be quickly mastered so as to lower the learning curve of a novice.
Yin
Min
M
Department of Urology, Lihuili Hospital, Ningbo Medical Center, Ningbo 315040, China. 281145223@qq.com
Yang
Xie-qiao
XQ
Li
Ru-bing
RB
Yang
Ming
M
Yu
Zhen-hua
ZH
Lin
Ning-shu
NS
D000368:Aged; D000714:Anastomosis, Surgical; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*