Characteristics and nursing strategies of ureteral injury in laparoscopic rectal cancer surgery

Abstract

Objective To analyze the characteristics and nursing strategies of ureteral injury in laparoscopic rectal cancer surgery. Methods We retrospectively analyzed the clinical data of patients with ureteral injuries complicated with ureteral injury in Cancer Hospital of Chinese Academy of Medical Sciences from July 2007 to June 2014, summarized the characteristics of laparoscopic rectal cancer complicated with ureteral injury, analyzed the reasons of injury and explored the related nursing measures. Results A total of 1 120 cases of rectal cancer patients received laparoscopic assisted radical resection of rectal cancer, in which 11 cases of patients occurred ureteral injury with the total incidence rate 0.98%; one stage anastomosis was performed in all the patients, and the double J tube was retained; after the operation, the nursing of the drainage tube, catheter and double J tube were taken; all patients were discharged from 9 to 12 d after surgery; bladder function training was performed 2 weeks after operation, 11 patients removing the catheter 4 to 6 weeks after surgery, and the double J tube removing at the half year of surgery. Conclusions Left ureteral injury occurred more frequently compared with right during the procedure of laparoscopic rectal cancer resection. Improvement of observation and postoperative nursing are useful for the accelerated recovery of ureteral injuries. Key words: Laparoscopy; Rectal cancer; Ureteral injury; Nursing of drainage tube