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首页> 外文期刊>Surgical Endoscopy >Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: A study comparing unidirectional barbed monofilament and multifilament absorbable suture
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Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: A study comparing unidirectional barbed monofilament and multifilament absorbable suture

机译：腹腔镜Roux-en-Y胃旁路手术中的带刺带倒刺单向V-Loc 180缝合：比较单向带刺带刺单丝和多丝可吸收缝合线的研究

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Background: This study aimed primarily to evaluate the safety of digestive running suture (in gastrojejunal and antecolic jejunojejunal anastomosis closure) using unidirectional absorbable barbed suture (V-Loc 180) in laparoscopic Roux-en-Y gastric bypass (LRYGB) and secondarily to assess the efficacy of V-Loc 180 in reducing operative time. Methods: A prospective cohort study of 315 consecutive patients who underwent LRYGB was performed between October 2009 and October 2012 using an identical procedure technique. For the first 76 patients, a multifilament absorbable suture was used to assess the gastrojejunal anastomosis and the antecolic jejunal suture. For the following 239 patients, a unidirectional barbed monofilament suture was used. Data including operative time, time required for gastric pouch creation, time spent in both anastomoses constructions, conversion rate, and complications were prospectively recorded. Results: The postoperative complications did not differ significantly between the two groups. Early complications were observed for 1 patient (1.3 %) in the multifilament group and for 14 patients (5.8 %) in the barbed procedure group (p > 0.05). Late complications were observed for 1 patient (1.3 %) in the multifilament group and for 5 patients (2 %) in the barbed procedure group (p > 0.05). A shortened operative time was achieved in the barbed suture group. The mean operative time was 74.3 ± 15.3 min in the Vicryl group versus 62.7 ± 15.5 min in the V-Loc group (p < 0.05). The mean operative time required to fashion the gastrojejunal anastomosis was 21.3 ± 6.3 min in the Vicryl group versus 17.4 ± 5.1 min in the V-Loc group (p < 0.05). The mean operative time required to fashion the jejunojejunal anastomosis was 21.4 ± 4.9 min in the Vicryl group versus 15.2 ± 5.5 min in the V-Loc group (p < 0.05). Conclusions: The authors' experience has demonstrated that the use of interlocked V-Loc suture during LRYGB anastomosis appears to be safe and efficient. The findings show a shortened total operative time in terms of single gastrojejunal or jejunojejunal anastomosis time. No statistically significant differences in early or late postoperative complications were observed between the V-Loc and multifilament absorbable suture patients.
机译：背景：本研究的主要目的是在腹腔镜Roux-en-Y胃旁路术（LRYGB）中使用单向可吸收带刺缝合线（V-Loc 180）来评估消化道缝合线（在胃空肠和前空肠空肠吻合术中的安全性），其次是评估V-Loc 180减少手术时间的功效。方法：2009年10月至2012年10月之间，采用相同的程序技术对315例接受LRYGB治疗的连续患者进行了前瞻性队列研究。对于前76名患者，采用多丝可吸收缝合线评估胃空肠吻合和前空肠空肠缝合线。对于以下239例患者，使用了单向带刺的单丝缝合线。前瞻性地记录了数据，包括手术时间，胃囊形成所需的时间，吻合口构造的时间，转化率和并发症。结果：两组术后并发症无明显差异。在复丝组中观察到早期并发症，其中1例（1.3％），在带刺手术组中观察到14例（5.8％）（p> 0.05）。在复丝组中观察到晚期并发症，其中1例患者（1.3％），在带刺手术组中观察到5例患者（2％）（p> 0.05）。倒刺缝合组手术时间缩短。 Vicryl组的平均手术时间为74.3±15.3分钟，而V-Loc组的平均手术时间为62.7±15.5分钟（p <0.05）。在Vicryl组中，形成胃空肠吻合术所需的平均手术时间为21.3±6.3分钟，而在V-Loc组中为17.4±5.1分钟（p <0.05）。 Vicryl组形成空肠空肠吻合术所需的平均手术时间为21.4±4.9分钟，而V-Loc组为15.2±5.5分钟（p <0.05）。结论：作者的经验表明，在LRYGB吻合期间使用互锁的V-Loc缝合线似乎是安全有效的。研究结果表明，单胃空肠或空肠空肠吻合术的总手术时间缩短了。 V-Loc和可复丝吸收缝线患者在术后早期或晚期并发症中无统计学差异。

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