Study on safety and feasibility of minimally invasive esophagectomy without the use of postoperative nasogastric tube decompression
10.3760/cma.j.issn.1671-0274.2014.09.018
- VernacularTitle:微创食管癌术后不留置胃肠减压管的安全性和可行性研究
- Author:
Huaguang PAN
1
;
Zaicheng YU
;
Renquan ZHANG
;
Ningning KANG
;
Yun CHE
;
Wei GE
;
Wei ZHANG
;
Xu HU
Author Information
1. 安徽医科大学第一附属医院普胸外科
- Keywords:
Esophageal neoplasms;
Minimally invasive operation;
Nasogastric tube;
Fast-track surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(9):920-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of forgoing postoperative nasogastric tube decompression in minimally invasive esophagectomy for patients with esophagus carcinoma. Methods Clinical data of 90 eligible patients who underwent elective minimally invasive esophagectomy in our department from January 2012 to May 2013 by the same surgical team were retrospectively analyzed. Among them, 45 patients did not receive the use of postoperative nasogastric tube decompression and 45 patients received nasogastric tube decompression after operation. The observation parameters included the time to first flatus, the time to intake of fluid diet, the duration of postoperative hospitalization, pharyngalgia, vomiting, and postoperative complications, as well as the need for placing or replacing the nasogastric tube. Results The incidence of pharyngalgia was significantly higher in nasogastric tube group (100% vs 44.4%, P<0.001). The time to intake of fluid diet[median 2 d(2-4 d) vs. median 9 d(7-20 d), P<0.001] and the time to first flatus[median 3 d (3-8 d) vs. median 6 d (3-9 d), P<0.001] were all significantly shorter in non-nasogastric tube group as compared to nasogastric tube group. Compared with the nasogastric tube group , the non-nasogastric tube group had shorter postoperative hospital stay(P<0.001). There were no significant differences in the incidence of postoperative complications and vomiting between two groups. Conclusion Minimally invasive esophagectomy without the use of postoperative nasogastric tube decompression is safe and feasible, which can improve recovery and shorten postoperative hospital stay.
