Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma
Background/purpose: This study investigates the safety and feasibility to perform laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC) without routine nasogastric tube (NGT) decompression. Methods: The hospital-based samples comprised of 100 consecutive UTUC patients rec...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2020-09-01
|
Series: | Journal of the Formosan Medical Association |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664619306205 |
id |
doaj-309cae3c9aa84fd7bb38b6ccd067775c |
---|---|
record_format |
Article |
spelling |
doaj-309cae3c9aa84fd7bb38b6ccd067775c2020-11-25T03:54:34ZengElsevierJournal of the Formosan Medical Association0929-66462020-09-01119913531359Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinomaFu-Shun Hsu0Wei-Yi Huang1Yu-Fen Chen2Ling-Ying Wu3Suo-Meng Wang4Kuo-How Huang5Department of Urology, Heping Fuyou Branch, Taipei City Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, TaiwanInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan; Department of Healthcare and Medical Care, Veterans Affairs Council, Taipei, TaiwanDepartment of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, TaiwanGraduate Institute of European Studies, Tamkang University, Taipei, Taiwan; Ministry of Health and Welfare, Taipei, TaiwanDepartment of Urology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Urology, National Taiwan University Hospital, Taipei, Taiwan; Department of Urology, College of Medicine, National Taiwan University, Taipei, Taiwan; Corresponding author. Department of Urology, National Taiwan University Hospital, No. 7 Chung-Shan South Road, Zhongzheng District, Taipei, 100, Taiwan.Background/purpose: This study investigates the safety and feasibility to perform laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC) without routine nasogastric tube (NGT) decompression. Methods: The hospital-based samples comprised of 100 consecutive UTUC patients receiving elective LNU performed by two experienced surgeons. The nationwide data was based on LHID2005 composed of one million beneficiaries randomly selected from the Taiwan National Health Insurance Research Database to identify patients with the diagnoses of UTUCs receiving LNUs. We then compared baseline characteristics, peri-operative data, convalescence parameters and complications between two groups stratified by use of NGT tube. Results: The hospital-based samples composed of 50 subjects with NGT and 50 without. There were no significant differences in baseline characteristics between two groups. Peri-operative and convalescence parameters were similar when comparing no NGT versus NGT: blood loss of 206 vs. 165 mL; operative time of 180.5 vs.181.1 min; days to intake was 2.1 vs.1.7 days; and hospital stay of 7.8 vs. 7.5 days (all p > 0.05). The nationwide study samples comprised 140 subjects, of which 72 were with NGT and 68 were with no NGT. The baseline data, complications and length of hospital stay were similar between two groups. Conclusion: Surgery-naïve patients with localized UTUC received LNU without peri-operative NGT is safe and feasible.http://www.sciencedirect.com/science/article/pii/S0929664619306205Upper tract urothelial carcinomaLaparoscopic nephroureterectomyNasogastric tube |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fu-Shun Hsu Wei-Yi Huang Yu-Fen Chen Ling-Ying Wu Suo-Meng Wang Kuo-How Huang |
spellingShingle |
Fu-Shun Hsu Wei-Yi Huang Yu-Fen Chen Ling-Ying Wu Suo-Meng Wang Kuo-How Huang Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma Journal of the Formosan Medical Association Upper tract urothelial carcinoma Laparoscopic nephroureterectomy Nasogastric tube |
author_facet |
Fu-Shun Hsu Wei-Yi Huang Yu-Fen Chen Ling-Ying Wu Suo-Meng Wang Kuo-How Huang |
author_sort |
Fu-Shun Hsu |
title |
Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
title_short |
Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
title_full |
Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
title_fullStr |
Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
title_full_unstemmed |
Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
title_sort |
nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2020-09-01 |
description |
Background/purpose: This study investigates the safety and feasibility to perform laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC) without routine nasogastric tube (NGT) decompression. Methods: The hospital-based samples comprised of 100 consecutive UTUC patients receiving elective LNU performed by two experienced surgeons. The nationwide data was based on LHID2005 composed of one million beneficiaries randomly selected from the Taiwan National Health Insurance Research Database to identify patients with the diagnoses of UTUCs receiving LNUs. We then compared baseline characteristics, peri-operative data, convalescence parameters and complications between two groups stratified by use of NGT tube. Results: The hospital-based samples composed of 50 subjects with NGT and 50 without. There were no significant differences in baseline characteristics between two groups. Peri-operative and convalescence parameters were similar when comparing no NGT versus NGT: blood loss of 206 vs. 165 mL; operative time of 180.5 vs.181.1 min; days to intake was 2.1 vs.1.7 days; and hospital stay of 7.8 vs. 7.5 days (all p > 0.05). The nationwide study samples comprised 140 subjects, of which 72 were with NGT and 68 were with no NGT. The baseline data, complications and length of hospital stay were similar between two groups. Conclusion: Surgery-naïve patients with localized UTUC received LNU without peri-operative NGT is safe and feasible. |
topic |
Upper tract urothelial carcinoma Laparoscopic nephroureterectomy Nasogastric tube |
url |
http://www.sciencedirect.com/science/article/pii/S0929664619306205 |
work_keys_str_mv |
AT fushunhsu nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma AT weiyihuang nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma AT yufenchen nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma AT lingyingwu nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma AT suomengwang nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma AT kuohowhuang nasogastrictubedecompressionisunnecessaryinpatientsundergoinglaparoscopicnephroureterectomyforlocalizeduppertracturothelialcarcinoma |
_version_ |
1724473011670614016 |