Placement of laparoscopic jejunostomy for patients with esophageal cancer

VernacularTitle:腹腔镜下食管癌患者空肠造口的放置
Author: Xiao MA ; Hecheng LI ; Yiliang ZHANG ; Wei GUO ; Longfei MA ; Jie ZHANG ; Jiaqing XIANG
Publication Type:Journal Article
Keywords: esophageal neoplasm; laparoscopy; central venous catheterization; jejunostomy
From: Chinese Journal of Clinical Oncology 2014;(23):1500-1502
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the feasibility and safety of laparoscopic jejunostomy with central venous catheterization set (CVC, Arrow International Inc., USA) during the operation of totally minimally invasive Ivor-Lewis esophagectomy (MIIE). Methods:The clinical data of 88 patients with esophageal squamous cell carcinoma who were admitted to the Fudan University Cancer Hospital from February 2013 to April 2014 were retrospectively analyzed. Among them, 48 patients with early mid-lower esophageal cancer un-derwent laparoscopic jejunostomy with CVC, and 40 patients accepted nasogastric tube nutrition. Short-term clinical outcomes were collected. Results:No significant difference in nutrition index was found between the two groups, but the rate of unplanned extubation in the laparoscopic jejunostomy with CVC group was less than that in the nasogastric tube nutrition group. Conclusion:Laparoscopic jejunostomy with CVC set is a safe and feasible technique. It is potentially accepted as an optional approach in MIIE for post-operative nutrition support.