胸腹腔镜食管癌根治术后放置胃管和无胃管对并发症的影响

Influence of placement of gastric tube and no gastric tube after thoracoscopic laparoscopic radical resection of esophageal cancer on complications

目的探讨胸腹腔镜食管癌根治术后放置胃管和无胃管对并发症的影响。方法2017年1月~2019年12月我院收治的食管癌病人150例,采用随机数字表法分为两组,A组75例,胸腹腔镜食管癌根治术后不放置胃管,B组75例,胸腹腔镜食管癌根治术后放置胃管。比较两组相关恢复指标结果、术后胃肠功能情况及并发症发生情况。结果A组术后胸管拔除时间为(3.19±0.65)天、住院时间为(7.98±1.01)天,B组分别为(5.32±0.74)天、(12.54±1.35)天,A组术后胸管拔除时间、住院时间均短于B组,差异有统计学意义(P<0.05)。A组术后肛门首次排气时间为(45.11±5.16)小时,首次排便时间为(48.19±5.67)小时、首次进食时间为(1.46±0.11)天,B组分别为(62.84±6.21)小时、(55.32±6.94)小时、(3.24±0.45)天,A组术后肛门首次排气时间、首次排便时间、首次进食时间均短于B组,差异有统计学意义(P<0.05)。A组术后总并发症发生为24.00%,B组术后总并发症发生为26.67%,两组比较差异无统计学意义(P>0.05)。结论胸腹腔镜食管癌根治术后不放置胃管可加快病人恢复,促进胃肠功能恢复,且不增加术后并发症的发生。

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 thoraco-laparoscopic 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.