| Xin Huang,Xin Xu,Zhanfa Sun,Jing Chen,Hong Fang. Analysis of the relationship between deep venous catheter-related infection and post-operative complications in patients receiving minimally invasive esophagectomy. Oncol Transl Med, 2020, 6: 64-67. |
| Analysis of the relationship between deep venous catheter-related infection and post-operative complications in patients receiving minimally invasive esophagectomy |
| Received:August 28, 2019 Revised:May 08, 2020 |
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| KeyWord:deep venous catheterization (DVC); catheter-related infection (CRI); minimally invasive esophagectomy (MIE); complications |
| Author Name | Affiliation | Postcode | | Xin Huang | Department of Burns and Plastic Surgery, Qingdao Municipal Hospital | 266011 | | Xin Xu | Department of Cardiothoracic Surgery, Qingdao Municipal Hospital | 266011 | | Zhanfa Sun | Department of Cardiothoracic Surgery, Qingdao Municipal Hospital | 266011 | | Jing Chen | Second Department of General Surgery, Qingdao Municipal Hospital | 266011 | | Hong Fang | Department of Burns and Plastic Surgery, Qingdao Municipal Hospital | 266011 |
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| Abstract: |
| Objective The aim of the study was to evaluate catheter-related infection rate (CRIR) for patients
receiving minimally invasive esophagectomy (MIE), to identify the optimal catheterization approach and
relationship between CRIR and post-operative complications.
Methods In total, 168 patients with esophageal carcinoma and undergoing MIE combined with preoperative
deep venous catheterization (DVC) were analyzed in our institution (Qingdao Municipal Hospital,
China), from 2014 to 2018. After completing DVC, catheter-tips together with intraductal venous blood
samples were sent to the microbiology lab for bacterial strain culture. CRIR was statistically evaluated for
the following clinical variables: gender, age, smoking status, drinking status, past history, tumor location,
histologic grade, pathological T, N, and M category, anastomotic location, anastomotic leakage, anastomotic
stricture, chylothorax, pneumonia, recurrent laryngeal nerve (RLN) injury, reflux esophagitis, catheterization
site, and catheter-locking days.
Results Among the 144 patients recruited in our study, 105 catheters were inserted into the jugular vein
and 39 catheters into the subclavian vein. The median age of these patients was 63 years (range: 42–79
years), and the median catheter-locking period was seven days (range: 4–21 days). Four catheters were
identified with three types of strain colonizations, including Staphylococcus epidermidis, Staphylococcus
aureus and Blastomyces albicans. Statistical data showed that patients diagnosed with catheter-related
infection were likely to incur anastomotic leakage (66.67%, P < 0.001) and pneumonia (27.27%, P < 0.001);
features such as tumors located in the upper esophagus (13.6%, P = 0.003), and over seven catheterlocking
days (10.00%, P < 0.001) were attributed to a high CRIR.
Conclusion Although both jugular and subclavian veins can be catheterized for patients with MIE, DVC
is associated with more than seven catheter-locking days and upper esophagectomy, due to high CRIR.
Furthermore, catheter-related infection is related to anastomotic leakage and pneumonia. |
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