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Research Article
Liping Li
Shantou University Medical College
Corresponding Author
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Background: Central venous catheter (CVC) is commonly used in surgery. The purpose of this retrospective study is to investigate whether there is an unnecessary use of CVC in laparoscopic radical rectal cancer.
Methods: This is a retrospective review of prospective medical records of patients who underwent laparoscopic radical rectal cancer surgery from January 2015 to May 2019 in our institution. Patients were divided into two groups according to whether CVC was inserted by the anesthesiologist or not, and the perioperative variables of the two groups were compared and analyzed. Patients with CVC insertion were divided into two groups according to their single-lumen or double-lumen, and the perioperative variables of the two groups were compared.
Results: Of 344 patients who underwent surgery, 194(56.4%) were without CVC and 150 (43.6%) with CVC. There was no significant difference in operative time, fluid transfusion, blood loss, postoperative parenteral nutrition, and hospital stay (p > 0.05). For patients with CVC, none of the patients underwent central venous pressure monitoring, only 2 (1.33%) patients received a blood transfusion, 11 (7.33%) patients received vasoactive drugs and 3 (2%) patients received postoperative ICU. There was no significant difference in perioperative variables between the single-lumen tube and double-lumen tube groups.
Conclusion: For most patients undergoing laparoscopic radical resection of rectal cancer, CVC is unnecessary and a waste of medical resources.
Keywords
central venous catheters, rectal cancer, unnecessary
Figure 1
No competing interests reported.
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This preprint is under consideration at BMC Anesthesiology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Liping Li
Shantou University Medical College
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 12 Mar, 2021
No community comments so far
Reviewers invited
Invitations sent on 05 Mar, 2021
Editor assigned
On 03 Mar, 2021
Editor invited
On 03 Mar, 2021
Submission checks complete
On 03 Mar, 2021
First submitted
On 27 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Central venous catheter (CVC) is commonly used in surgery. The purpose of this retrospective study is to investigate whether there is an unnecessary use of CVC in laparoscopic radical rectal cancer.
Methods: This is a retrospective review of prospective medical records of patients who underwent laparoscopic radical rectal cancer surgery from January 2015 to May 2019 in our institution. Patients were divided into two groups according to whether CVC was inserted by the anesthesiologist or not, and the perioperative variables of the two groups were compared and analyzed. Patients with CVC insertion were divided into two groups according to their single-lumen or double-lumen, and the perioperative variables of the two groups were compared.
Results: Of 344 patients who underwent surgery, 194(56.4%) were without CVC and 150 (43.6%) with CVC. There was no significant difference in operative time, fluid transfusion, blood loss, postoperative parenteral nutrition, and hospital stay (p > 0.05). For patients with CVC, none of the patients underwent central venous pressure monitoring, only 2 (1.33%) patients received a blood transfusion, 11 (7.33%) patients received vasoactive drugs and 3 (2%) patients received postoperative ICU. There was no significant difference in perioperative variables between the single-lumen tube and double-lumen tube groups.
Conclusion: For most patients undergoing laparoscopic radical resection of rectal cancer, CVC is unnecessary and a waste of medical resources.
Figure 1
No competing interests reported.
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