{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T01:49:35Z","timestamp":1776131375822,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T00:00:00Z","timestamp":1630713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2018M633694"],"award-info":[{"award-number":["2018M633694"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81500417"],"award-info":[{"award-number":["81500417"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Social Development Fund of Jiangsu Province","award":["BE2015687"],"award-info":[{"award-number":["BE2015687"]}]},{"DOI":"10.13039\/501100010242","name":"Jiangsu Planned Projects for Postdoctoral Research Funds","doi-asserted-by":"publisher","award":["1701159C"],"award-info":[{"award-number":["1701159C"]}],"id":[{"id":"10.13039\/501100010242","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Urinary catheterization (UC) is a conventional perioperative measure for major abdominal operation. Optimization of perioperative catheter management is an essential component of the enhanced recovery after surgery (ERAS) programme. We aimed to investigate the risk factors of urinary retention (UR) after open colonic resection within the ERAS protocol and to assess the feasibility of avoiding urinary drainage during the perioperative period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 110 colonic-cancer patients undergoing open elective colonic resection between July 2014 and May 2018 were enrolled in this study. All patients were treated within our ERAS protocol during the perioperative period. Data on patients\u2019 demographics, clinicopathologic characteristics, and perioperative outcomes were collected and analysed retrospectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sixty-eight patients (61.8%) underwent surgery without any perioperative UC. Thirty patients (27.3%) received indwelling UC during the surgical procedure. Twelve (10.9%) cases developed UR after surgery necessitating UC. Although patients with intraoperative UC had a lower incidence of post-operative UR [0% (0\/30) vs 15% (12\/80), P\u2009=\u20090.034], intraoperative UC was not testified as an independent protective factor in multivariate logistic analysis. The history of prostatic diseases and the body mass index were strongly associated with post-operative UR. Six patients were diagnosed with post-operative urinary-tract infection, among whom two had intraoperative UC and four were complicated with post-operative UR requiring UC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Avoidance of urinary drainage for open elective colonic resection is feasible with the implementation of the ERAS programme as the required precondition. Obesity and a history of prostatic diseases are significant predictors of post-operative UR.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gastro\/goab006","type":"journal-article","created":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T13:52:02Z","timestamp":1630763522000},"page":"589-594","source":"Crossref","is-referenced-by-count":3,"title":["Avoidance of urinary drainage during perioperative period of open elective colonic resection within enhanced recovery after surgery programme"],"prefix":"10.1093","volume":"9","author":[{"given":"Yun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, P.R. China"},{"name":"Jiangxi Institute of Digestive surgery, Nanchang, Jiangxi 330006, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi-Wei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin-Xin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua-Feng","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guan-Wen","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng-Rong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, P.R. China"},{"name":"Jiangxi Institute of Digestive surgery, Nanchang, Jiangxi 330006, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,9,4]]},"reference":[{"key":"2021121701554593400_goab006-B1","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1001\/archsurg.2009.170","article-title":"Consensus review of optimal perioperative care in colorectal surgery: enhanced recovery after surgery (eras) group recommendations","volume":"144","author":"Lassen","year":"2009","journal-title":"Arch Surg"},{"key":"2021121701554593400_goab006-B2","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1055\/s-0033-1351135","article-title":"Urinary catheter management","volume":"26","author":"Hendren","year":"2013","journal-title":"Clin Colon Rectal Surg"},{"key":"2021121701554593400_goab006-B3","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1001\/archsurg.143.6.551","article-title":"Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data","volume":"143","author":"Wald","year":"2008","journal-title":"Arch Surg"},{"key":"2021121701554593400_goab006-B4","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1086\/651091","article-title":"Guideline for prevention of catheter-associated urinary tract infections 2009","volume":"31","author":"Gould","year":"2010","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2021121701554593400_goab006-B5","doi-asserted-by":"crossref","first-page":"S41","DOI":"10.1086\/591066","article-title":"Strategies to prevent catheter-associated urinary tract infections in acute care hospitals","volume":"29","author":"Lo","year":"2008","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2021121701554593400_goab006-B6","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/S0022-5347(17)55596-2","article-title":"Catheter-associated urinary tract infections in surgical patients: a controlled study on the excess morbidity and costs","volume":"124","author":"Givens","year":"1980","journal-title":"J Urol"},{"key":"2021121701554593400_goab006-B7","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1007\/s11605-016-3160-9","article-title":"Laparoscopic colonic resection without urinary drainage: Is it feasible?","volume":"20","author":"Alyami","year":"2016","journal-title":"J Gastrointest Surg"},{"key":"2021121701554593400_goab006-B8","doi-asserted-by":"crossref","first-page":"E390","DOI":"10.1111\/ans.13916","article-title":"Impact of avoiding post-operative urinary catheters on outcomes following colorectal resection in an ERAS programme: no IDUC and ERAS programmes","volume":"88","author":"Roberts","year":"2018","journal-title":"ANZ J Surg"},{"key":"2021121701554593400_goab006-B9","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1097\/DCR.0000000000000386","article-title":"Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe","volume":"58","author":"Yoo","year":"2015","journal-title":"Dis Colon Rectum"},{"key":"2021121701554593400_goab006-B10","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/codi.13082","article-title":"Laparoscopic and open right-sided colonic resection in daily routine practice: a prospective multicentre study within an Enhanced Recovery After Surgery (ERAS) protocol","volume":"18","author":"Tiefenthal","year":"2016","journal-title":"Colorectal Dis"},{"key":"2021121701554593400_goab006-B11","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1007\/s00595-012-0292-8","article-title":"Laparoscopic versus open colectomy for TNM stage III colon cancer: results of a prospective multicenter study in Italy","volume":"42","author":"Guerrieri","year":"2012","journal-title":"Surg Today"},{"key":"2021121701554593400_goab006-B12","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1093\/gastro\/goy051","article-title":"Intra-corporeal delta-shaped anastomosis in laparoscopic right hemicolectomy for right colon cancer: a safe and effective technique","volume":"7","author":"Su","year":"2019","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"2021121701554593400_goab006-B13","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s13741-017-0064-5","article-title":"Perioperative Quality Initiative (POQI) I Workgroup. 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