Safety and cost-benefit analysis of patients without gastric tube after thoracolaparoscopic esophagectomy: A prospective cohort study
- VernacularTitle:胸腹腔镜食管癌术后不留置胃管安全性和成本效益的前瞻性队列研究
- Author:
Yuanyuan YIN
1
;
E ZHENG
1
;
Huanhuan LI
2
;
Mei YANG
1
;
Li YAO
1
;
Chunlin ZHAO
1
Author Information
1. West China School of Nursing, Sichuan University, Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610000, P. R. China
2. West China School of Nursing, Sichuan University, Mental Health Center, West China Hospital, Sichuan University, Chengdu, 610000, P. R. China
- Publication Type:Journal Article
- Keywords:
Thoracolaparoscopy;
esophageal cancer surgery;
indwelling gastric tube;
cost-benefit
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(05):728-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and comfort of patients with or without postoperative gastric tube placement after esophageal cancer surgery, and analyze the cost and nursing time of gastric tube placement. Methods The patients with esophageal cancer undergoing minimally invasive surgery in West China Hospital of Sichuan University in 2021 were enrolled. The patients were divided into a gastric tube indwelling group and a non gastric tube indwelling group according to whether the gastric tube was indwelled after the operation. The safety and comfort indicators of the two groups were compared. Results A total of 130 patients were enrolled. There were 66 patients in the gastric tube indwelling group, including 53 males and 13 females, aged 61.80±9.05 years and 64 patients in the non gastric tube indwelling group, including 55 males and 9 females, aged 64.47±8.00 years. Six patients in the non gastric tube indwelling group needed to place gastric tube 1 to 3 days after the operation due to their condition. There was no statistical difference in the incidence of postoperative complications between the two groups (P>0.05). The subjective comfort of patients in the gastric tube indwelling group was significantly lower than that in the non gastric tube indwelling group (P<0.001), and the incidence of foreign body sensation in the throat of patients in the gastric tube indwelling group was higher than that in the non gastric tube indwelling group (P<0.001). The average nursing time in the gastric tube indwelling group was about 59.58 minutes, and the average cost of gastric tube materials and nursing was 378.24 yuan per patient. Conclusion No gastric tube used after operation for appropriate esophageal cancer patients will not increase the incidence of postoperative complications (pulmonary infection, anastomotic leakage, chylothorax), but can increase the comfort of patients, save cost and reduce nursing workload, which is safe, feasible and economical.
