Application of Suprapubic Catheterization by Using Central Venous Catheter in Middle and Low Rectal Cancer Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CAI Sheng-bin ,  ZHANG Hong , CONG Jin-chun , LING Yun-zhi , LIU Ding-sheng , CUI Ming-ming , CHEN Chun-sheng

Department of Colorectal Tumor Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China;

Corresponding author：

ZHANG Hong, Email: haojiubujian1203@sina.cn

Keywords：

Middle and low rectal cancer; Suprapubic catheterization; Central venous catheter; Transurethral catheterization

DOI：

10.7507/1007-9424.20150384

Video：

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Objective To investigate the effect of suprapubic catheterization(SPC) by using central venous catheter (CVC) on the perioperative complications in middle and low rectal cancer surgery. Methods The clinical data of 141 patients with middle and low rectal cancer underwent operation in Shengjing Hospital of China Medical University from April 2012 to January 2015 were collected. There were 65 patients performed SPC by using CVC, 76 patients performed routine transurethral catheterization(TUC). The incidences of bacteriuria and urinary retention, recatheterization rate, duration of catheterization, and catheter-related pain were analyzed and compared between these two groups. Results ①Compared with the TUC, the SPC by using CVC could significantly reduce the incidence of bacteriuria(P=0.002), espe-cially in female(P=0.006), ≥60 years old(P=0.001), low rectal cancer(P=0.003), open surgery(P=0.018), Miles(P=0.016), and Dixon(P=0.032).②There was no significant difference in the incidence of urinary retention(P=0.464) between the SPC by using CVC and the TUC.③Compared with the TUC, the SPC by using CVC could significantly reduce the inci-dence of recatheterization rate(P=0.001), especially in the patients with male(P=0.016), ≥60 years old(P=0.008), low rectal cancer(P=0.019), laparoscopic surgery(P=0.013), and Miles(P=0.037).④Compared with the TUC, the point of catheter-related pain was significantly lower in the SPC by using CVC(P=0.001), no matter males(P=0.005) or females(P=0.010), aged 60 years and older(P=0.023) or younger(P=0.034), middle rectal cancer(P=0.017) or low rectal cancer(P=0.046), open surgery(P=0.033) or laparoscopic surgery(P=0.021), Dixon(P=0.019) or Miles(P=0.035).⑤The duration of catheterization was similar between the SPC by using CVC and the TUC(P=0.597). Conclusion SPC by using CVC is a safer, more effective and more acceptable method of bladder drainage in middle and low rectal cancer surgery as compared with routine TUC.

Citation： CAI Sheng-bin, ZHANG Hong, CONG Jin-chun, LING Yun-zhi, LIU Ding-sheng, CUI Ming-ming, CHEN Chun-sheng. Application of Suprapubic Catheterization by Using Central Venous Catheter in Middle and Low Rectal Cancer Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(12): 1471-1476. doi: 10.7507/1007-9424.20150384 Copy

1.	周总光, 王自强.欧美与日本中低位直肠癌诊治指南解读.中国实用外科杂志, 2009, 29(4): 291-292.
2.	McPhail MJ, Abu-Hilal M, Johnson CD. A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. Br J Surg, 2006, 93(9): 1038-1044.
3.	Hayashi K, Ikemoto T, Ueno T, et al. Regional differences of repea-tability on visual analogue scale with experimental mechanical pain stimuli. Neurosci Lett, 2015, 585: 67-71.
4.	Changchien CR, Yeh CY, Huang ST, et al. Postoperative urinary retention after primary colorectal cancer resection via laparotomy: A prospective study of 2 355 consecutive patients. Dis Colon Rectum, 2007, 50(10): 1688-1696.
5.	Zmora O, Madbouly K, Tulchinsky H, et al. Urinary bladder catheter drainage following pelvic surgery–is it necessary for that long? Dis Colon Rectum, 2010, 53(3): 321-326.
6.	Kin C, Rhoads KF, Jalali M, et al. Predictors of postoperative urinary retention after colorectal surgery. Dis Colon Rectum, 2013, 56(6): 738-746.
7.	Kang SB, Park JW, Jeong SY, et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy(COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol, 2010, 11(7): 637-645.
8.	Jang JH, Kang SB, Lee SM, et al. Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg, 2012, 36(11): 2730-2737.
9.	Kang CY, Chaudhry OO, Halabi WJ, et al. Risk factors for posto-perative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg, 2012, 78(10): 1100-1104.
10.	Abrams P, Amarenco G, Bakke A, et al. Tamsulosin: efficacy and safety in patients with neurogenic lower urinary tract dysfunction due to suprasacral spinal cord injury. J Urol, 2003, 170(4 pt 1): 1242-1251.
11.	Akasu T, Sugihara K, Moriya Y. Male urinary and sexual functions after mesorectal excision alone or in combination with extended lateral pelvic lymph node dissection for rectal cancer. Ann Surg Oncol, 2009, 16(10): 2779-2786.
12.	Kang SB, Park JS, Kim DW, et al. Intraoperative technical difficulty during laparoscopy-assisted surgery as a prognostic factor for colorectal cancer. Dis Colon Rectum, 2010, 53(10): 1400-1408.
13.	Lee SY, Kang SB, Kim DW, et al. Risk factors and preventive measures for acute urinary retention after rectal cancer surgery. World J Surg, 2015, 39(1): 275-282.
14.	Toyonaga T, Matsushima M, Sogawa N, et al. Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Int J Colorectal Dis, 2006, 21(7): 676-682.
15.	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.
16.	Ahmed SJ, Mehta A, Rimington P. Delayed bowel perforation following suprapubic catheter insertion. BMC Urol, 2004, 4(1): 16.
17.	Gormley EA. Urologic complications of the neurogenic bladder. Urol Clin North Am, 2010, 37(4): 601-607.
18.	Branagan GW, Moran BJ. Published evidence favors the use of suprapubic catheters in pelvic colorectal surgery. Dis Colon Rectum, 2002, 45(8): 1104-1108.
19.	Perrin LC, Penfold C, McLeish A. A prospective randomized controlled trial comparing suprapubic with urethral catheterization in rectal surgery. Aust N Z J Surg, 1997, 67(8): 554-556.
20.	Botsios D, Demetriades C, Goulimaris I, et al. Suprapubic percutan-eous cystostomy versus urethral catheterisation in abdominal surgery. Dig Surg, 14: 404-408.
21.	Healy DA, Walsh CA, Walsh SR. Suprapubic versus transurethral bladder catheterization following pelvic surgery. Curr Opin Obstet Gynecol, 2013, 25(5): 410-413.
22.	Niël-Weise BS, van den Broek PJ. Urinary catheter policies for short-term bladder drainage in adults. Cochrane Database Syst Rev, 2005, (3): CD004203.
23.	Wells TH, Steed H, Capstick V, et al. Suprapubic or urethral catheter:what is the optimal method of bladder drainage after radical hyster-ectomy? J Obstet Gynaecol Can, 2008, 30(11): 1034-1038.
24.	Harrison SC, Lawrence WT, Morley RA, et al. British association of urological surgeons, suprapubic catheter practice guidelines. BJU Int, 2011, 107(1): 77-85.
25.	Hunter KF, Bharmal A, Moore KN. Long-term bladder drainage: Suprapubic catheter versus other methods: a scoping review. Neuro-urol Urodyn, 2013, 32(7): 944-951.
26.	李春光, 王松岩, 陈岐辉.老年前列腺增生尿潴留患者行中心静脉导管膀胱穿刺治疗的体会.中国老年学杂志, 2013, 33(16): 4012-4013.
27.	赵伟, 王荐东, 陈维刚, 等. 3种膀胱造瘘方法治疗急性尿潴留的比较.中国现代医学杂志, 2011, 21(15): 1904-1906, 1910.
28.	Wald HL, Ma A, Bratzler DW, et al. Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg, 2008, 143(6): 551-557.
29.	Tan GW, Chan SP, Ho CK. Is transurethral catheterisation the ideal method of bladder drainage? A survey of patient satisfaction with indwelling transurethral urinary catheters. Asian J Surg, 2010, 33(1): 31-36.
30.	Tambyah PA, Maki DG. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1 497 catheterized patients. Arch Intern Med, 2000, 160(5): 678-682.
31.	Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1): 13-27.
32.	Platt R, Polk BF, Murdock B, et al. Mortality associated with nosocomial urinary-tract infection. N Engl J Med, 1982, 307(11): 637-642.
33.	Holroyd-Leduc JM, Sen S, Bertenthal D, et al. The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patients. J Am Geriatr Soc, 2007, 55(2): 227-233.
34.	Johnson CD. Suprapubic catheterization at laparotomy. Dig Surg, 2006, 23(5/6): 281-282.

1. 周总光, 王自强.欧美与日本中低位直肠癌诊治指南解读.中国实用外科杂志, 2009, 29(4): 291-292.
2. McPhail MJ, Abu-Hilal M, Johnson CD. A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. Br J Surg, 2006, 93(9): 1038-1044.
3. Hayashi K, Ikemoto T, Ueno T, et al. Regional differences of repea-tability on visual analogue scale with experimental mechanical pain stimuli. Neurosci Lett, 2015, 585: 67-71.
4. Changchien CR, Yeh CY, Huang ST, et al. Postoperative urinary retention after primary colorectal cancer resection via laparotomy: A prospective study of 2 355 consecutive patients. Dis Colon Rectum, 2007, 50(10): 1688-1696.
5. Zmora O, Madbouly K, Tulchinsky H, et al. Urinary bladder catheter drainage following pelvic surgery–is it necessary for that long? Dis Colon Rectum, 2010, 53(3): 321-326.
6. Kin C, Rhoads KF, Jalali M, et al. Predictors of postoperative urinary retention after colorectal surgery. Dis Colon Rectum, 2013, 56(6): 738-746.
7. Kang SB, Park JW, Jeong SY, et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy(COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol, 2010, 11(7): 637-645.
8. Jang JH, Kang SB, Lee SM, et al. Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg, 2012, 36(11): 2730-2737.
9. Kang CY, Chaudhry OO, Halabi WJ, et al. Risk factors for posto-perative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg, 2012, 78(10): 1100-1104.
10. Abrams P, Amarenco G, Bakke A, et al. Tamsulosin: efficacy and safety in patients with neurogenic lower urinary tract dysfunction due to suprasacral spinal cord injury. J Urol, 2003, 170(4 pt 1): 1242-1251.
11. Akasu T, Sugihara K, Moriya Y. Male urinary and sexual functions after mesorectal excision alone or in combination with extended lateral pelvic lymph node dissection for rectal cancer. Ann Surg Oncol, 2009, 16(10): 2779-2786.
12. Kang SB, Park JS, Kim DW, et al. Intraoperative technical difficulty during laparoscopy-assisted surgery as a prognostic factor for colorectal cancer. Dis Colon Rectum, 2010, 53(10): 1400-1408.
13. Lee SY, Kang SB, Kim DW, et al. Risk factors and preventive measures for acute urinary retention after rectal cancer surgery. World J Surg, 2015, 39(1): 275-282.
14. Toyonaga T, Matsushima M, Sogawa N, et al. Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Int J Colorectal Dis, 2006, 21(7): 676-682.
15. 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.
16. Ahmed SJ, Mehta A, Rimington P. Delayed bowel perforation following suprapubic catheter insertion. BMC Urol, 2004, 4(1): 16.
17. Gormley EA. Urologic complications of the neurogenic bladder. Urol Clin North Am, 2010, 37(4): 601-607.
18. Branagan GW, Moran BJ. Published evidence favors the use of suprapubic catheters in pelvic colorectal surgery. Dis Colon Rectum, 2002, 45(8): 1104-1108.
19. Perrin LC, Penfold C, McLeish A. A prospective randomized controlled trial comparing suprapubic with urethral catheterization in rectal surgery. Aust N Z J Surg, 1997, 67(8): 554-556.
20. Botsios D, Demetriades C, Goulimaris I, et al. Suprapubic percutan-eous cystostomy versus urethral catheterisation in abdominal surgery. Dig Surg, 14: 404-408.
21. Healy DA, Walsh CA, Walsh SR. Suprapubic versus transurethral bladder catheterization following pelvic surgery. Curr Opin Obstet Gynecol, 2013, 25(5): 410-413.
22. Niël-Weise BS, van den Broek PJ. Urinary catheter policies for short-term bladder drainage in adults. Cochrane Database Syst Rev, 2005, (3): CD004203.
23. Wells TH, Steed H, Capstick V, et al. Suprapubic or urethral catheter:what is the optimal method of bladder drainage after radical hyster-ectomy? J Obstet Gynaecol Can, 2008, 30(11): 1034-1038.
24. Harrison SC, Lawrence WT, Morley RA, et al. British association of urological surgeons, suprapubic catheter practice guidelines. BJU Int, 2011, 107(1): 77-85.
25. Hunter KF, Bharmal A, Moore KN. Long-term bladder drainage: Suprapubic catheter versus other methods: a scoping review. Neuro-urol Urodyn, 2013, 32(7): 944-951.
26. 李春光, 王松岩, 陈岐辉.老年前列腺增生尿潴留患者行中心静脉导管膀胱穿刺治疗的体会.中国老年学杂志, 2013, 33(16): 4012-4013.
27. 赵伟, 王荐东, 陈维刚, 等. 3种膀胱造瘘方法治疗急性尿潴留的比较.中国现代医学杂志, 2011, 21(15): 1904-1906, 1910.
28. Wald HL, Ma A, Bratzler DW, et al. Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg, 2008, 143(6): 551-557.
29. Tan GW, Chan SP, Ho CK. Is transurethral catheterisation the ideal method of bladder drainage? A survey of patient satisfaction with indwelling transurethral urinary catheters. Asian J Surg, 2010, 33(1): 31-36.
30. Tambyah PA, Maki DG. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1 497 catheterized patients. Arch Intern Med, 2000, 160(5): 678-682.
31. Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1): 13-27.
32. Platt R, Polk BF, Murdock B, et al. Mortality associated with nosocomial urinary-tract infection. N Engl J Med, 1982, 307(11): 637-642.
33. Holroyd-Leduc JM, Sen S, Bertenthal D, et al. The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patients. J Am Geriatr Soc, 2007, 55(2): 227-233.
34. Johnson CD. Suprapubic catheterization at laparotomy. Dig Surg, 2006, 23(5/6): 281-282.

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Application of Suprapubic Catheterization by Using Central Venous Catheter in Middle and Low Rectal Cancer Surgery

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