作者
Marco Milone, Matteo Nicola Dario Di Minno, Giuseppe Galloro, Paola Maietta, Paolo Bianco, Francesco Milone, Mario Musella
发表日期
2013/9/1
期刊
Journal of Laparoendoscopic & Advanced Surgical Techniques
卷号
23
期号
9
页码范围
756-759
出版商
Mary Ann Liebert, Inc.
简介
Background: Laparoscopic intracorporeal suturing and knot tying for anastomosis are considered the most difficult laparoscopic skills to master. The aim of this study was to establish the safety and efficacy of barbed suture for intestinal sutures to close the gastrojejunal anastomosis in obese patients undergoing gastric bypass.
Study Design: All consecutive patients undergoing gastric bypass were screened for enrollment in our study. Patients were randomly allocated to undergo knotless anastomosis with barbed suture (V-Loc™ 180; Covidien, Mansfield, MA) (case group) or knot-tying anastomosis with 3/0 polyglactin sutures (Polysorb®; Covidien) (control group). The primary outcome was the time needed for the gastrojejunal anastomosis and the operative time. The secondary outcomes were the incidence of leak, bleeding, and stenosis and the evaluation of the cost of the different procedures evaluated.
Results …
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M Milone, MND Di Minno, G Galloro, P Maietta… - Journal of Laparoendoscopic & Advanced Surgical …, 2013