Titre :

Suprapubic versus transurethral catheterization for bladder drainage in male rectal cancer surgery (GRECCAR10), a randomized clinical trial

Auteur(s) :

Trilling, B. [Auteur]
Gestes Medico-chirurgicaux Assistés par Ordinateur [TIMC-IMAG-GMCAO]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Tidadini, F. [Auteur]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Lakkis, Z. [Auteur]
Service de Chirurgie Digestive [CHRU Besançon]
Jafari, M. [Auteur]
Centre Régional de Lutte contre le Cancer Oscar Lambret [Lille] [UNICANCER/Lille]
Germain, A. [Auteur]
Institut de Recherche sur la Fusion par confinement Magnétique [IRFM]
Rullier, E. [Auteur]
Neuro-Gastroentérologie et Nutrition [NGN]
Lefevre, J. [Auteur]
Tuech, J. [Auteur]
Service de Chirurgie Digestive [CHU Rouen]
Kartheuser, A. [Auteur]
Université Catholique de Louvain = Catholic University of Louvain [UCL]
Leonard, D. [Auteur]
Prudhomme, M. [Auteur]
Centre Hospitalier Universitaire de Nîmes [CHU Nîmes]
Université de Montpellier [UM]
Piessen, G. [Auteur]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Regimbeau, J. [Auteur]
Chirurgie digestive [CHU Amiens]
Simplification des soins chez les patients complexes - UR UPJV 7518 [SSPC]
Cotte, E. [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Hospices Civils de Lyon [HCL]
Duprez, D. [Auteur]
Badic, B. [Auteur]
Panis, Y. [Auteur]
Assistance publique - Hôpitaux de Paris (AP-HP) [AP-HP]
Rivoire, M. [Auteur]
Centre Léon Bérard [Lyon]
Meunier, B. [Auteur]
Portier, G. [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Bosson, J. [Auteur]
Vilotitch, A. [Auteur]
Foote, A. [Auteur]
Caspar, Y. [Auteur]
Rouanet, P. [Auteur]
Faucheron, J. [Auteur]

Titre de la revue :

Techniques in Coloproctology

Pagination :

77

Éditeur :

Springer Verlag (Germany)

Date de publication :

2024-07-02

ISSN :

1123-6337

Mot(s)-clé(s) en anglais :

Bladder drainage
Randomized clinical trial
Rectal cancer surgery
Suprapubic catheter
Transurethral catheter

Discipline(s) HAL :

Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Chirurgie
Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Hépatologie et Gastroentérologie

Résumé en anglais : [en]

Background: Bladder drainage is systematically used in rectal cancer surgery; however, the optimal type of drainage, transurethral catheterization (TUC) or suprapubic catheterization (SPC), is still controversial. The aim ...
Lire la suite >Background: Bladder drainage is systematically used in rectal cancer surgery; however, the optimal type of drainage, transurethral catheterization (TUC) or suprapubic catheterization (SPC), is still controversial. The aim was to compare the rates of urinary tract infection on the fourth postoperative day (POD4) between TUC and SPC, after rectal cancer surgery regardless of the day of removal of the urinary drain.Methods: This randomized clinical trial in 19 expert colorectal surgery centers in France and Belgium was performed between October 2016 and October 2019 and included 240 men (with normal or subnormal voiding function) undergoing mesorectal excision with low anastomosis for rectal cancer. Patients were followed at postoperative days 4, 30, and 180.Results: In 208 patients (median age 66 years [IQR 58-71]) randomized to TUC (n = 99) or SPC (n = 109), the rate of urinary infection at POD4 was not significantly different whatever the type of drainage (11/99 (11.1%) vs. 8/109 (7.3%), 95% CI, - 4.2% to 11.7%; p = 0.35). There was significantly more pyuria in the TUC group (79/99 (79.0%) vs. (60/109 (60.9%), 95% CI, 5.7-30.0%; p = 0.004). No difference in bacteriuria was observed between the groups. Patients in the TUC group had a shorter duration of catheterization (median 4 [2-5] vs. 4 [3-5] days; p = 0.002). Drainage complications were more frequent in the SPC group at all followup visits.Conclusions: TUC should be preferred over SPC in male patients undergoing surgery for mid and/or lower rectal cancers, owing to the lower rate of complications and shorter duration of catheterization.Lire moins >

Langue :

Anglais

Comité de lecture :

Oui

Audience :

Internationale

Vulgarisation :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL