Early removal of the catheter after laparoscopic radical prostatectomy.
Early removal of the catheter after laparoscopic radical prostatectomy.
复制标题
腹腔镜根治性前列腺切除术后早期拔除导管。
DOI：
10.1016/s0022-5347(05)65648-0
复制
发表时间：
2001
期刊：
影响因子：
--
通讯作者：
C. Abbou
中科院分区：
文献类型：
--
作者：
Andrei Nadu;Laurent Salomon;A. Hoznek;L. Olsson;F. Saint;A. Taille;A. Cicco;D. Chopin;C. Abbou
PurposeWe prospectively tested the safety of routine removal of the catheter as early as 2 to 4 days after laparoscopic radical arterectomy.Materials and MethodsBetween March 1998 and March 2001，228 patients carried out laparoscopic radical arterectomy for clinical organ confined prostate cancer.根据术后2 - 4天进行的重力膀胱造影，最后113例连续患者被纳入前瞻性研究。如果未观察到泄漏，则取出导管。如果泄漏是明显的导管留置6天，膀胱造影repeated.ResultsCystography 2至4天后，手术后显示吻合口无泄漏96例（84.9%），随后有导管取出。有28名患者在术后第2天、第3天28名和第4天40名拔除导管。在17例（15.1%）患者中观察到吻合口瘘，当时未取出导管。早期拔除导尿管的96例患者中，10例（10.4%）发生尿潴留，需要再次导尿。该手术无需膀胱镜检查。导管取出后，所有患者均能在24小时后排尿。中位随访时间为7个月（范围1 - 15），显示复发率大于93%。没有吻合口狭窄，盆腔脓肿或urinoma的发展，在任何patient.ConclusionsPatients接受腹腔镜根治性直肠癌切除术可以有导管安全地删除2至4天后，没有更高的风险失禁，狭窄或泄漏相关的问题。
PurposeWe prospectively tested the safety of routine removal of the catheter as early as 2 to 4 days after laparoscopic radical prostatectomy.Materials and MethodsBetween March 1998 and March 2001, 228 patients underwent laparoscopic radical prostatectomy for clinically organ confined prostate cancer. The last 113 consecutive patients were included in a prospective study according to gravitational cystography performed 2 to 4 days postoperatively. If no leak was seen the catheter was removed. If a leak was apparent the catheter was left indwelling for another 6 days and cystography was repeated.ResultsCystography 2 to 4 days postoperatively showed an anastomosis without a leak in 96 (84.9%) patients who subsequently had the catheters removed. There were 28 patients who had the catheter removed on postoperative day 2, 28 day 3 and 40 day 4. In 17 (15.1%) patients an anastomotic leak was observed, and the catheter was not removed at that time. Of the 96 patients in whom the catheter was removed early 10 (10.4%) had urinary retention that necessitated re-catheterization. This procedure was performed without the need for cystoscopy. After the catheter was removed all patients were able to void 24 hours later. Median followup was 7 months (range 1 to 15) and showed continence rates greater than 93%. No anastomotic stricture, pelvic abscess or urinoma developed in any patient.ConclusionsPatients who undergo laparoscopic radical prostatectomy can have the catheter safely removed 2 to 4 days postoperatively without a higher risk of incontinence, stricture or leak related problems.