Early catheter removal after laparoscopic colonic resection: A propensity score matched analysis
作者： Andrea Ruzzenente , Alessandro Valdegamberi , Corrado Pedrazzani , Alfredo Guglielmi , Cristian Conti
DOI: 10.1016/J.PCORM.2021.100174
关键词:
摘要: Abstract Background: The actual impact of early urinary catheter (UC) removal within an ERAS protocol after minimally invasive colonic resection (MICR) was assessed in a propensity score matched cohort. Methods: A retrospective cohort study conducted on 227 consecutive patients who underwent elective MICR and were divided two groups according to (E-UC) or late (L-UC) UC. After application matching, 76 each compared for non-severe post-operative complications, total fluids administered (TVF) length stay (LOS). Recovery outcomes, retention (UR) tract infections (UTI) the secondary endpoints analysed. Results: L-UC characterized by higher TVF increased rate general complications. Post-operative LOS one day shorter E-UC group, whilst UR UTI rates comparably low. Late UC associated delayed deambulation solid diet intake. Conclusions: Our data confirm that is safe effective reducing minor complications LOS. Delay with amount infusion restore intake which could be responsible complication rate. Avoidance selected should further investigated.
sci-hub.st 参考文章(29)
U. O. Gustafsson, M. J. Scott, W. Schwenk, N. Demartines, D. Roulin, N. Francis, C. E. McNaught, J. MacFie, A. S. Liberman, M. Soop, A. Hill, R. H. Kennedy, D. N. Lobo, K. Fearon, O. Ljungqvist, Guidelines for perioperative care in elective colonic surgery: Enhanced recovery after surgery (ERAS®) society recommendations World Journal of Surgery. ,vol. 37, pp. 259- 284 ,(2013) , 10.1007/S00268-012-1772-0
Scott E. Regenbogen, Thomas E. Read, Patricia L. Roberts, Peter W. Marcello, David J. Schoetz, Rocco Ricciardi, Urinary Tract Infection after Colon and Rectal Resections: More Common than Predicted by Risk-Adjustment Models Journal of the American College of Surgeons. ,vol. 213, pp. 784- 792 ,(2011) , 10.1016/J.JAMCOLLSURG.2011.08.013
B. M. Stubbs, K. J. M. Badcock, C. Hyams, F. E. Rizal, S. Warren, D. Francis, A prospective study of early removal of the urethral catheter after colorectal surgery in patients having epidural analgesia as part of the Enhanced Recovery After Surgery programme. Colorectal Disease. ,vol. 15, pp. 733- 736 ,(2013) , 10.1111/CODI.12124
Carolyn V. Gould, Craig A. Umscheid, Rajender K. Agarwal, Gretchen Kuntz, David A. Pegues, , Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control and Hospital Epidemiology. ,vol. 31, pp. 319- 326 ,(1981) , 10.1086/651091
Dileep N. Lobo, David A.L. Macafee, Simon P. Allison, How perioperative fluid balance influences postoperative outcomes Best Practice & Research Clinical Anaesthesiology. ,vol. 20, pp. 439- 455 ,(2006) , 10.1016/J.BPA.2006.03.004
Birgitte Brandstrup, Hanne Tønnesen, Randi Beier-Holgersen, Else Hjortsø, Helle Ørding, Karen Lindorff-Larsen, Morten S Rasmussen, Charlotte Lanng, Lene Wallin, Lene H Iversen, Christina S Gramkow, Mette Okholm, Tine Blemmer, Poul-Erik Svendsen, Henrik H Rottensten, Birgit Thage, Jens Riis, Inge S Jeppesen, Dorthe Teilum, Anne Mette Christensen, Ben Graungaard, Frank Pott, Danish Study Group on Perioperative Fluid Therapy, None, Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Annals of Surgery. ,vol. 238, pp. 641- 648 ,(2003) , 10.1097/01.SLA.0000094387.50865.23
Linda Basse, Mads Werner, Henrik Kehlet, Is urinary drainage necessary during continuous epidural analgesia after colonic resection Regional Anesthesia and Pain Medicine. ,vol. 25, pp. 498- 501 ,(2000) , 10.1053/RAPM.2000.9537
David Coyle, Kenneth M. Joyce, Joseph T. Garvin, Mark Regan, Oliver J. McAnena, Peter M. Neary, Myles R. Joyce, Early post-operative removal of urethral catheter in patients undergoing colorectal surgery with epidural analgesia – A prospective pilot clinical study International Journal of Surgery. ,vol. 16, pp. 94- 98 ,(2015) , 10.1016/J.IJSU.2015.03.003
Hawa Keita, Elisabeth Diouf, Florence Tubach, Tammo Brouwer, Souhayl Dahmani, Jean Mantz, Jean-Marie Desmonts, Predictive factors of early postoperative urinary retention in the postanesthesia care unit. Anesthesia & Analgesia. ,vol. 101, pp. 592- 596 ,(2005) , 10.1213/01.ANE.0000159165.90094.40
Heidi L. Wald, Indwelling Urinary Catheter Use in the Postoperative Period Archives of Surgery. ,vol. 143, pp. 551- 557 ,(2008) , 10.1001/ARCHSURG.143.6.551