PMID- 33676481
OWN - NLM
STAT- MEDLINE
DCOM- 20210310
LR  - 20210312
IS  - 1471-2482 (Electronic)
IS  - 1471-2482 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Mar 6
TI  - Needle Adjustment Free (NAF) running suture technique (PAN suture) in 
      laparoscopic partial nephrectomy.
PG  - 118
LID - 10.1186/s12893-021-01112-7 [doi]
LID - 118
AB  - BACKGROUND: It is proposed a new running suture technique called Needle 
      Adjustment Free (NAF) technique, or PAN suture. The efficiency and the safety 
      were evaluated in laparoscopic partial nephrectomy. METHODS: This new running 
      suture technique avoids the Needle Adjustment method used in traditional 
      techniques. The new continuous suture technique (11 patients) was compared with 
      the traditional continuous suture method (33 patients) used in both 
      transperitoneal and retroperitoneal laparoscopic partial nephrectomy (LPN) in 
      terms of suture time (ST), warm ischemia time (WIT), blood loss (BL), open 
      conversion rate and post-op discharge time, post-op bleeding, post-op DVT, DeltaGFR 
      (affected side, 3 months post-op). Differences were considered significant when 
      P < 0.05. RESULTS: ST in the PAN suture group was 30.37 +/- 16.39 min, which was 
      significant shorter (P = 0.0011) than in the traditional technique group which 
      was 13.68 +/- 3.33 min. WIT in the traditional technique group was 28.73 +/- 7.89 
      min, while in the PAN suture group was 20.64 +/- 5.04 min, P = 0.0028. The BL in 
      entirety in the traditional technique group was 141.56 +/- 155.23 mL, and in the 
      PAN suture group was 43.18 +/- 31.17 mL (P = 0.0017). BL in patients without 
      massive bleeding in the traditional technique group was significantly greater 
      than in the PAN suture group at 101.03 +/- 68.73 mL versus 43.18 +/- 31.17 mL 
      (P = 0.0008). The open conversion rate was 0 % in both groups. There was no 
      significant difference between the two groups in postoperative discharge time, 
      post-op bleeding, post-op DVT, DeltaGFR (affected side, 3 months post-op). 
      CONCLUSIONS: The NAF running suture technique, or PAN suture, leading to less ST, 
      WIT and BL, which was shown to be more effective and safer than the traditional 
      technique used for LPN. A further expanded research with larger sample size is 
      needed.
FAU - Pan, Jun-Wei
AU  - Pan JW
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Zhang, Xiang
AU  - Zhang X
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Jin, Xing-Wei
AU  - Jin XW
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Liu, Xiao
AU  - Liu X
AD  - Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, Shanghai, China.
FAU - Tu, Wei-Chao
AU  - Tu WC
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Wang, Xian-Jin
AU  - Wang XJ
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Huang, Bao-Xing
AU  - Huang BX
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Xu, Da
AU  - Xu D
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Lu, Guo-Liang
AU  - Lu GL
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Wang, Da-Wei
AU  - Wang DW
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China.
FAU - Wang, Xiang-Hui
AU  - Wang XH
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China. wxh@medmail.com.cn.
FAU - Shao, Yuan
AU  - Shao Y
AD  - Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of 
      Medicine, No. 999, Xi Wang Road, Shanghai, 201801, China. shaoyuan15@126.com.
LA  - eng
GR  - JDKW-2018-W09/Agricultural and Social Research Projects of District Jiading, 
      Shanghai/
GR  - 2019RCPY-B12/Youth Talents Plan of Shanghai Ruijin Hospital North/
PT  - Journal Article
DEP - 20210306
PL  - England
TA  - BMC Surg
JT  - BMC surgery
JID - 100968567
SB  - IM
MH  - Humans
MH  - *Laparoscopy
MH  - *Nephrectomy/methods
MH  - *Suture Techniques
MH  - Treatment Outcome
PMC - PMC7937216
OTO - NOTNLM
OT  - Laparoscopic partial nephrectomy
OT  - Needle Adjustment Free
OT  - Needle out-needle in
OT  - PAN suture
OT  - Suture efficiency
COIS- The authors declare that they have no competing interests.
EDAT- 2021/03/08 06:00
MHDA- 2021/03/11 06:00
PMCR- 2021/03/06
CRDT- 2021/03/07 20:23
PHST- 2020/08/31 00:00 [received]
PHST- 2021/02/21 00:00 [accepted]
PHST- 2021/02/09 00:00 [revised]
PHST- 2021/03/07 20:23 [entrez]
PHST- 2021/03/08 06:00 [pubmed]
PHST- 2021/03/11 06:00 [medline]
PHST- 2021/03/06 00:00 [pmc-release]
AID - 10.1186/s12893-021-01112-7 [pii]
AID - 1112 [pii]
AID - 10.1186/s12893-021-01112-7 [doi]
PST - epublish
SO  - BMC Surg. 2021 Mar 6;21(1):118. doi: 10.1186/s12893-021-01112-7.