Application of the midline bilateral suturing technique in laparoscopic radical prostatectomy for managing the dorsal venous complex
Objective:To explore the surgical technique of the midline bilateral suturing for the management of the dorsal vascular complex(DVC)in laparoscopic radical prostatectomy for prostate cancer.Methods:Between March 2020 and March 2022,81 patients who underwent laparoscopic radical prostatectomy at Second Affiliated Hospital of Kunming Medical University were selected.These patients were divided into two groups according to the different techniques used to manage the DVC--the traditional suturing group(38 patients)and the midline bilat-eral suturing group(43 patients).The general information,intraoperative data,and postoperative recovery indica-tors of both groups were compared to ascertain any differences.Results:There was no significant difference in the general information or surgery duration between the two groups(P＞0.05).The midline bilateral suturing group showed less intraoperative blood loss,a lower rate of positive surgical margins,and higher rates of urinary conti-nence recovery at 1 and 3 months postoperatively compared to the traditional suturing group(P＜0.05).At 6 months postoperatively,the difference in urinary continence recovery rates was not statistically significant(P＞0.05).Conclusion:The midline bilateral suturing technique is effective in controlling intraoperative bleeding and significantly reducing the positive margin rate at the apex of the prostate,which is beneficial for early postopera-tive recovery of urinary continence in patients.
dorsal vascular complexlaparoscopic radical prostatectomyurinary continencepositive surgi-cal marginintraoperative blood loss
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