JOURNAL OF CLINICAL SURGERY ›› 2021, Vol. 29 ›› Issue (6): 538-541.doi: 10.3969/j.issn.1005-6483.2021.06.012
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Abstract: Objective:To explore the influence of the placement of gastric tube and no gastric tube after thoracoscopic laparoscopic radical resection of esophageal cancer on complications.Methods:150 patients with esophageal cancer admitted to our hospital from January 2017 to December 2019 were selected as the research objects,and they were divided into group A by random number table(75 cases,no gastric tube was placed after thoracoscopic laparoscopic esophageal cancer radical resection),Group B(75 cases,gastric tube was placed after thoracoscopic laparoscopic radical resection of esophageal cancer).The results of related recovery indicators,postoperative gastrointestinal function and complications of the two groups were compared.Results:The postoperative chest tube removal time in group A was(3.19±0.65)d and the hospital stay was(7.98±1.01)d,group B was(5.32±0.74)d and(12.54±1.35)d,respectively.The chest tube removal time and hospital stay in group A were shorter than group B,and the difference was statistically significant(P<0.05).The first postoperative time of the anus in group A was(45.11±5.16)h,the time of first defecation was(48.19±5.67)h,the time of first eating was(1.46±0.11)d.The data of group B were (62.84±6.21)h,(55.32±6.94)h,(3.24±0.45)d,respectivly.The time of first air exhaust,first defecation and first eating time of the anus in group A were shorter than group B,the difference was statistically significant(P<0.05).The total postoperative complications in group A was 24.00%,and the total postoperative complications in group B was 26.67%.There was no significant difference in the total postoperative complications between the two groups(P>0.05).Conclusion:The absence of a gastric tube after thoracolaparoscopic radical resection of esophageal cancer can speed up the patient's recovery,promote the recovery of gastrointestinal function,and will not increase the occurrence of postoperative complications.
Key words: esophageal cancer, minimally invasive surgery, radical operation, stomach tube, complication
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