在腹膜麻醉的胃肠道手术中切除尿导管的适当时间:一项随机对照试验
Teppei Miyakawa1,2, Michitaka Honda3,4, Hidetaka Kawamura3,4
1Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, 1 Hikarigaoka Fukushima-shi, Fukushima, 960-1295, Japan. tpsundaysilence@yahoo.co.jp.
Langenbeck's archives of surgery
|August 30, 2024
概括
在胃肠道外科手术后,在男性患者中,通过外周麻醉提前切除尿导管是可行的. 虽然它可能会略微增加尿留风险,但它仍然在可接受的范围内,这表明它对恢复有潜在的益处.
科学领域:
- 麻醉学和外科手术期间的医学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- 经过胃肠道手术和外周麻醉的男性患者有高尿的风险.
- 提前切除尿管是改善患者康复和减少并发症的潜在策略.
研究的目的:
- 评估早期尿导管切除在男性患者的可行性和安全性,这些男性患者在外周麻醉下接受胃肠道手术.
- 为了比较早期和晚期尿导管切除组之间的尿和其他并发症的发生率.
主要方法:
- 一个随机对照试验,涉及男性患者,他们接受了激进的胃或结肠癌手术.
- 患者被随机分配到早期尿道导管切除 (在外周导管切除之前) 或晚期切除.
- 主要终点是尿;次要终点包括尿路感染和住院时间.
主要成果:
- 尿留发生在早期清除组的11.1%,而晚期清除组的3.0% (P=0.20).
- 晚期组中的一名患者患上了尿路感染.
- 两个组的中位数术后住院时间为9天.
结论:
- 在这种患者群体中,早期的尿导管切除似乎是可行的.
- 提前清除尿液时,尿的风险增加在可接受的范围内.
- 进一步的研究可能会探索优化导管切除时间,以平衡益处和风险.
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