Perioperative Painless Indwelling Urethral Catheter in Lobectomy of Lung Cancer: A Prospective Cohort Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XUZhi-hua , YANGMei , QIUFang , FANJun , WANGWei , LINLin , LIWei-min ,  CHEGuo-wei

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;

Corresponding?author：

CHEGuo-wei, Email: guowei_che@yahoo.com

Keywords：

Painless indwelling urethral catheters; Lobectomy; Lung cancer

DOI：

10.7507/1007-4848.20160076

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the advantages of perioperative painless indwelling urethral catheters in lobectomy of lung cancer. Methods We recruited 133 patients who were scheduled for lung cancer lobectomy under general anesthesia in Department of Thoracic Surgery in West China Hospital from April through December 2014. These patients were divided into two groups including a control group (68 patients) and a trial group (65 patients). The trial group was painless indwelled urethral catheter, and the control group was indwelled urethral catheter routinely. The clinical effectiveness between the two groups was compared. Results The rates of emergence agitation (EA) occurrence and urinary tract infection in the trial group (10.77%, 9.23%) were reduced than those in the control group (26.47%, 26.47%) with statistical differences (P=0.022, P=0.047). And the rate of comfort level (0 degree) of the patients in the trial group (87.69%) was significantly increased than that in the control group (48.53%, P=0.001). And postoperative hospitalization duration in the trial group (5.00±1.60 d) was shorter than that in the control group (6.48±3.14 d, P=0.004). Conclusion Perioperative painless indwelling urethral catheters in lobectomy of lung cancer has benefit of improving the comfort level of the patients and promoting fast-track rehabilitation in the patients with lung cancer.

Citation： XUZhi-hua, YANGMei, QIUFang, FANJun, WANGWei, LINLin, LIWei-min, CHEGuo-wei. Perioperative Painless Indwelling Urethral Catheter in Lobectomy of Lung Cancer: A Prospective Cohort Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(4): 323-327. doi: 10.7507/1007-4848.20160076 Copy

1.	Shah RD, D'Amico TA. Modern impact of video assisted thoracic surgery. J Thorac Dis, 2014, 6(Suppl 6): S631-66.
2.	王天佑. 快速康復外科理念與胸外科. 中國胸心血管外科臨床雜志, 2014, 21(1): 3-4.
3.	Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. Zhongguo Fei Ai Za Zhi, 2010, 13(11): 999-1003.
4.	Roger C, Feneley L, Ian B, et al. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
5.	Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3): 636-639.
6.	Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery: incidence and risk factors. Chest, 2005, 128(4): 2647-2652.
7.	Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-e77.
8.	Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer(2015 version). Cancer, 2015, 121 (Suppl 17): 3165-3181.
9.	Yu D, Chai W, Sun X, et al. Emergence agitation in adults: risk factors in 2,000 patients. Can J Anaesth, 2010, 57(9): 843-848.
10.	Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.
11.	邱舫,楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(7): 634-637.
12.	Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control, 2014, 3: 23.
13.	Jouve P, Bazin JE, Petit A, et al. Epidural versus continuous preperitoneal analgesia during fast-track open colorectal surgery: a randomized controlled trial. Anesthesiology, 2013, 118(3): 622-630.
14.	Sánchez Villar I. Removal of short-term indwelling urethral catheters. Nurs Stand, 2008, 22(22): 42-45.
15.	楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢.中國肺癌雜志, 2015,18(8): 512-517.
16.	韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
17.	劉新. 539例全麻手術患者蘇醒期躁動原因分析及護理. 中華護理雜志, 2007, 42(10): 886-888.
18.	Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis. Ann Intern Med, 2013, 159(6): 401-410.
19.	Souto CA, Rhoden EL, De Conti R, et al. Urethral catheter removal 7 or 14 days after radical retropubic prostatectomy: clinical implications and complications in a randomized study. Rev Hosp Clin Fac Med Sao Paulo, 2004, 59(5): 262-265.
20.	Knoll BM, Wright D, Ellingson L, et al. Reduction of inappropriate urinary catheter use at a Veterans Affairs hospital through a multifaceted quality improvement project. Clin Infect Dis, 2011, 52(11): 1283-1290.

1. Shah RD, D'Amico TA. Modern impact of video assisted thoracic surgery. J Thorac Dis, 2014, 6(Suppl 6): S631-66.
2. 王天佑. 快速康復外科理念與胸外科. 中國胸心血管外科臨床雜志, 2014, 21(1): 3-4.
3. Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. Zhongguo Fei Ai Za Zhi, 2010, 13(11): 999-1003.
4. Roger C, Feneley L, Ian B, et al. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
5. Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3): 636-639.
6. Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery: incidence and risk factors. Chest, 2005, 128(4): 2647-2652.
7. Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-e77.
8. Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer(2015 version). Cancer, 2015, 121 (Suppl 17): 3165-3181.
9. Yu D, Chai W, Sun X, et al. Emergence agitation in adults: risk factors in 2,000 patients. Can J Anaesth, 2010, 57(9): 843-848.
10. Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.
11. 邱舫,楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(7): 634-637.
12. Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control, 2014, 3: 23.
13. Jouve P, Bazin JE, Petit A, et al. Epidural versus continuous preperitoneal analgesia during fast-track open colorectal surgery: a randomized controlled trial. Anesthesiology, 2013, 118(3): 622-630.
14. Sánchez Villar I. Removal of short-term indwelling urethral catheters. Nurs Stand, 2008, 22(22): 42-45.
15. 楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢.中國肺癌雜志, 2015,18(8): 512-517.
16. 韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
17. 劉新. 539例全麻手術患者蘇醒期躁動原因分析及護理. 中華護理雜志, 2007, 42(10): 886-888.
18. Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis. Ann Intern Med, 2013, 159(6): 401-410.
19. Souto CA, Rhoden EL, De Conti R, et al. Urethral catheter removal 7 or 14 days after radical retropubic prostatectomy: clinical implications and complications in a randomized study. Rev Hosp Clin Fac Med Sao Paulo, 2004, 59(5): 262-265.
20. Knoll BM, Wright D, Ellingson L, et al. Reduction of inappropriate urinary catheter use at a Veterans Affairs hospital through a multifaceted quality improvement project. Clin Infect Dis, 2011, 52(11): 1283-1290.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Perioperative Painless Indwelling Urethral Catheter in Lobectomy of Lung Cancer: A Prospective Cohort Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content