Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan Province, PR China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan Province, PR China.
Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan Province, PR China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan Province, PR China.
Taiwan J Obstet Gynecol. 2023 Jan;62(1):50-54. doi: 10.1016/j.tjog.2022.11.001.
The aim of this study was to investigate the feasibility and safety of no placement of urinary catheter after single-port laparoscopic surgery in patients with benign ovarian tumor.
Patients with benign ovarian tumor who received ovarian cystectomy or oophorectomy via single-port laparoscopic surgery in our department were screened between July 2019 and March 2021. Patients were divided into placement of urinary catheter group or no-placement of urinary catheter group according to whether an indwelling catheter was used after single-port laparoscopic surgery, and length of hospital stay, occurrence of postoperative urinary retention, incidence of urinary tract infection and re-insertion rate of urinary catheters were compared.
There was no significant difference in the rate of urinary catheter re-insertion between the two groups (P = 0.431), but a higher incidence of urinary catheter re-insertion was found in the group of dwelling urinary catheter placement. Simultaneously, there were no significant differences in the rates of urinary tract infection and postoperative urinary retention (1.6% vs 0.6%; P = 0.391 and 4.3% vs 6.9%; P = 0.295, respectively) between the two groups, whereas a significant shorter length of hospital stay was observed in the non-urinary catheter group when compared to the urinary catheter group (4.61 ± 1.40 vs 5.23 ± 1.72; p < 0.001).
Our retrospective study provided evidence to the hypothesis that no placement of urinary catheter in patients with benign ovarian tumor was safe and feasible after single-port laparoscopic surgery. Meanwhile, avoiding urinary catheter could contributed to decrease in the length of hospital stay and is conducive to the enhanced recovery of patients.
本研究旨在探讨经单孔腹腔镜手术后不留置导尿管在良性卵巢肿瘤患者中的可行性和安全性。
筛选 2019 年 7 月至 2021 年 3 月期间在我科行单孔腹腔镜卵巢囊肿切除术或卵巢切除术的良性卵巢肿瘤患者。根据单孔腹腔镜手术后是否留置导尿管将患者分为留置导尿管组或不留置导尿管组，比较两组患者的住院时间、术后尿潴留发生率、尿路感染发生率和导尿管再插入率。
两组患者导尿管再插入率差异无统计学意义（P=0.431），但留置导尿管组导尿管再插入率较高。同时，两组尿路感染发生率和术后尿潴留发生率差异无统计学意义（1.6%比 0.6%，P=0.391 和 4.3%比 6.9%，P=0.295），而不留置导尿管组的住院时间明显短于留置导尿管组（4.61±1.40 比 5.23±1.72；p<0.001）。
本回顾性研究为单孔腹腔镜手术后良性卵巢肿瘤患者不留置导尿管安全可行的假设提供了证据。同时，避免留置导尿管可缩短住院时间，有利于患者的快速康复。
