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：

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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. 快速康复外科理念与胸外科. 中国胸心血管外科临床杂志, 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,杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 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.	杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势.中国肺癌杂志, 2015,18(8): 512-517.
16.	韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 17-20.
17.	刘新. 539例全麻手术患者苏醒期躁动原因分析及护理. 中华护理杂志, 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. 快速康复外科理念与胸外科. 中国胸心血管外科临床杂志, 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,杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 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. 杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势.中国肺癌杂志, 2015,18(8): 512-517.
16. 韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 17-20.
17. 刘新. 539例全麻手术患者苏醒期躁动原因分析及护理. 中华护理杂志, 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

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