Can-can XIA, Jiang LIU, Jian ZHAO, Gang WANG, Hai-feng WANG, Jia-hui ZHOU, Ya-qin CHU, Yun LI, Zhi-wei JIANG. Feasibility of Non-conventional Indwelling Catheter in Enhanced Recovery after Surgery of Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 49-53. DOI: 10.3969/j.issn.1674-9081.20180392
Citation: Can-can XIA, Jiang LIU, Jian ZHAO, Gang WANG, Hai-feng WANG, Jia-hui ZHOU, Ya-qin CHU, Yun LI, Zhi-wei JIANG. Feasibility of Non-conventional Indwelling Catheter in Enhanced Recovery after Surgery of Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 49-53. DOI: 10.3969/j.issn.1674-9081.20180392

Feasibility of Non-conventional Indwelling Catheter in Enhanced Recovery after Surgery of Gastric Cancer

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  • Corresponding author:

    JIANG Zhi-wei Tel: 86-25-86617141, E-mail:surgery34@163.com

  • Received Date: August 30, 2018
  • Issue Publish Date: January 29, 2020
  •   Objective  This study aimed to explore the feasibility of non-conventional indwelling catheter in enhanced recovery after surgery(ERAS) for postoperative patients with gastric cancer.
      Methods  The clinical data of patients undergoing gastric cancer radical surgery with ERAS were analyzed retrospectively in the Department of General Surgery, Nanjing General Hospital of Nanjing Military Region from June 2016 to March 2017. All catheters were inserted in the patients during the anesthesia induction period and removed immediately after surgery. The first time of urination after surgery, the volume, and the proportion of re-catheterization were recordedat the observing start point. The risk factors of the delay of the first urination and the reset of catheters were analy-zed.
      Results  In all 137 patients, there were 90 male (65.7%) and 47 female cases (34.3%) with an average age of (58.9±10.1)years. The first time of urination was (5.3±2.1) hours; the volume of the first urination was (298.9±101.3)ml; the incidence of resetting catheters was 11.7%(16/137). Subgroup analysis showed that the automatic urination rate was higher in the robotic surgery group. The induced urination rate, the incidence of resetting the urinary catheter, and the urinary tract irritation of the robotic surgery group were all lower compared with the open surgery group(all P < 0.05). 6-hour was used as the cutting line of the first postoperative urination time. Compared with the ≤ 6 h group, the >6 h group had more intraoperative infusion, urinary volume, and the first time of postoperative urine volume that delayed the first time of mobilization(all P < 0.01).
      Conclusion  sIt is feasible for patients with gastric cancer in ERAS to remove the urinary catheter immediately after surgery. Intraoperative control of infusion and multimodal analgesia are the basic conditions for non-conventional indwelling catheters. Robotic surgery is favorable for early postoperative recovery of automatic urination.
  • [1]
    江志伟, 黎介寿.规范化开展加速康复外科几个关键问题[J].中国实用外科杂志, 2016, 36:44-46. http://www.cnki.com.cn/Article/CJFDTotal-ZGWK201601017.htm
    [2]
    江志伟, 黎介寿, 汪志明, 等.胃癌患者应用加速康复外科治疗的安全性及有效性研究[J].中华外科杂志, 2007, 45:45-47. http://www.cnki.com.cn/Article/CJFDTotal-ZHWK200719010.htm
    [3]
    Weber DJ, Sickbert-Bennett EE, Gould CV, et al. Incid-ence of catheter-associated and non-catheter-associated urinary tract infections in a healthcare system[J]. Infect Control Hosp Epidemiol, 2011, 32:822-823. DOI: 10.1086/661107
    [4]
    Lo E, Nicolle LE, Coffin SE, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals:2014 update[J]. Infect Control Hosp Epidemiol, 2014, 35:464-479. DOI: 10.1086/675718
    [5]
    霍玉萌, 王莹.导尿管相关性尿路感染的易感因素及预防护理研究进展[J].护理学杂志, 2015, 30:102-104. http://www.cnki.com.cn/Article/CJFDTotal-HLXZ201513040.htm
    [6]
    江志伟, 李宁.结直肠手术应用加速康复外科中国专家共识(2015版)[J].中国实用外科杂志, 2015, 35:841-843. http://www.cnki.com.cn/Article/CJFDTotal-ZHZC201505002.htm
    [7]
    Mortensen K, Nilsson M, Slim K, et al. Consensus guide-lines for enhanced recovery after gastrectomy:Enhanced Recovery After Surgery (ERAS(R)) Society recommen-dations[J]. Br J Surg, 2014, 101:1209-1229. DOI: 10.1002/bjs.9582
    [8]
    Bjerregaard LS, Hornum U, Troldborg C, et al. Posto-perative Urinary Catheterization Thresholds of 500 versus 800 ml after Fast-track Total Hip and Knee Arthroplasty:A Randomized, Open-label, Controlled Trial[J]. Anesthesiology, 2016, 124:1256-1264. DOI: 10.1097/ALN.0000000000001112
    [9]
    史国仙, 马晋玲, 平慧芬, 等.留置导尿管时间对妇科腹腔镜术后病人恢复的影响[J].护理研究, 2014, 25:1859-1860. http://www.cnki.com.cn/Article/CJFDTotal-SXHZ201415037.htm
    [10]
    Zaouter C, Kaneva P, Carli F. Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia[J]. Reg Anesth Pain Med, 2009, 34:542-548. DOI: 10.1097/AAP.0b013e3181ae9fac
    [11]
    Stubbs BM, Badcock KJ, Hyams C, et al. Francis D.A prospective study of early removal of the urethral catheter aftercolorectal surgery in patients having epidural analgesia as part ofthe Enhanced Recovery After Surgery programme[J]. Colorectal Dis, 2013, 15:733-736. DOI: 10.1111/codi.12124
    [12]
    Alyami M, Lundberg P, Passot G, et al. Laparoscopic Colonic Resection Without Urinary Drainage:Is It "Feasible"[J]. J Gastrointest Surg, 2016, 20:1388-1392. DOI: 10.1007/s11605-016-3160-9
    [13]
    Okrainec A, Aarts MA, Conn LG, et al. Compliance with Urinary Catheter Removal Guidelines Leads to Improved Outcome in Enhanced Recovery After Surgery Patients[J]. J Gastrointest Surg, 2017, 21:1309-1317. DOI: 10.1007/s11605-017-3434-x
    [14]
    Baldini G, Bagry H, Aprikian A, et al. Postoperative urinary retention:anesthetic and perioperative considerations[J]. Anesthesiology, 2009, 110:1139-1157. DOI: 10.1097/ALN.0b013e31819f7aea
    [15]
    蔡东峰, 马俊, 黄泽宇, 等.静脉联合吸入麻醉下不导尿全膝关节置换术安全性及有效性分析[J].国际骨科学杂志, 2014, 35:337-340. http://www.cnki.com.cn/Article/CJFDTotal-GWGK201405021.htm
    [16]
    Harsten A, Kehlet H, Ljung P, et al. Total intravenous general anaesthesia vs. spinal anaesthesia for total hip arthroplasty[J]. Acta Anaesthesiol Scand, 2015, 59:542-543. DOI: 10.1111/aas.12495
    [17]
    Harsten A, Kehlet H, Toksvig-Larsen S. Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty:a randomized trial[J]. Br J Anaesth, 2013, 111:391-399. DOI: 10.1093/bja/aet104
    [18]
    屈启才, 陶建平, 思永玉, 等.右美托咪定治疗全麻术后导尿管引起膀胱不适的效果[J].广东医学, 2017, 38:2075-2077. http://www.cnki.com.cn/Article/CJFDTOTAL-GAYX201713039.htm
    [19]
    Keita H, Diouf E, Tubach F, et al. Predictive factors of early postoperative urinary retention in the postanesthesia care unit[J]. Anesth Analg, 2005, 101:592-596. DOI: 10.1213/01.ANE.0000159165.90094.40
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