空肠营养管盲置在食管癌Ivor-Lewis术中的应用

Application of blinded placement of nasojejunal tube during Ivor-Lewis esophagectomy

目的探讨Ivor?Lewis术中盲置空肠营养管的方法。方法2015年1月至2016年12月合肥市第三人民医院实施Ivor?Lewis食管中下段癌切除术病人19例,均采用盲置空肠营养管。主要步骤包括:(1)经腹游离胃;(2)食管肿瘤切除和胃食管胸内吻合;(3)在巡回护士协助下,术者经食管裂孔盲置空肠营养管。结果所有病例未发生营养管相关不良事件,19例均成功放置。结论Ivor?Lewis食管癌切除术中盲置空肠营养管是一种可行的置入方式。外科医生通过练习可以熟练掌握。

Objective To investigate the feasibility of the blinded placement of nasojejunal tube during Ivor?Lewis esophagectomy.Methods Nineteen patients(14 males and 5 females)with esophageal carcinoma underwent Ivor?Lewis esophagectomy in The Third People??s Hospital of Hefeifrom January 2015 to December 2016 were included.All patients were treated with blind jejunal nu?trition tube.Briefly,the general surgical procedures were performed as follows:(1)stomach mobilization;(2)esophageal carcinoma resection and intra?thoracic esophagogatrostomyvia right posterolateral thoracotomy;(3)blinded placement of feeding tube through the nostrils and jejunum of patients under the guidance of the roving nurse.Results No feeding tube?associated adverse event was observed.19 patients were successfully placed.Conclusion The novel forward blinded placement of nasojejunal feeding tube dur?ing Ivor?Lewis esophagectomy provides a non?invasive,feasiblemethod for postoperative nutritional support.Surgeons could grasp this technique successfully in practice.