Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE)....Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .展开更多
Objective：The aim of the present study was to construct a risk assessment model which was tested by disease-free survival （DFS） of esophageal cancer after radical surgery.Methods：A total of 164 consecutive esophag...Objective：The aim of the present study was to construct a risk assessment model which was tested by disease-free survival （DFS） of esophageal cancer after radical surgery.Methods：A total of 164 consecutive esophageal cancer patients who had undergone radical surgery between January 2005 and December 2006 were retrospectively analyzed.The cutpoint of value at risk （VaR） was inferred by stem-and-leaf plot,as well as by independent-samples t-test for recurrence-free time,further confirmed by crosstab chi-square test,univariate analysis and Cox regression analysis for DFS.Results：The cutpoint of VaR was 0.3 on the basis of our model.The rate of recurrence was 30.3 ％ （30/99）and 52.3％ （34/65） in VaR ＜0.3 and VaR ＞0.3 （chi-square test,x2 =7.984,P=0.005）,respectively.The 1-,3-,and 5-year DFS of esophageal cancer after radical surgery was 70.4％,48.7％,and 45.3％,respectively in VaR ＞≥0.3,whereas 91.5％,75.8％,and 67.3％,respectively in VaR ＜0.3 （Log-rank test,x2 =9.59,P=0.0020）,and further confirmed by Cox regression analysis [hazard ratio =2.10,95 ％ confidence interval （CI）：1.2649-3.4751; P=0.0041].Conclusions：The model could be applied for integrated assessment of recurrence risk after radical surgery for esophageal cancer.展开更多
Objective:To compare the clinical effects of minimally invasive esophageal cancer radical resection and traditional esophageal cancer radical resection.Methods:200 cases of esophageal cancer radical resection were per...Objective:To compare the clinical effects of minimally invasive esophageal cancer radical resection and traditional esophageal cancer radical resection.Methods:200 cases of esophageal cancer radical resection were performed from July 2014 to July 2017 in our hospital.The cases were divided into experimental group and control group,82 cases in the experimental group and 118 cases in the control group.The experimental group was treated with minimally invasive esophageal cancer radical surgery,and the control group was treated with conventional thoracotomy.Record the comparison between the two groups:(1)surgical conditions,including the time of surgery,intraoperative blood loss,hospitalization time;(2)the number of lymph nodes cleaned;(3)the postoperative control group used conventional thoracotomy,including lung lesions,anastomotic fistula/narrow.Results:The parameters of operation time,intraoperative blood loss,hospitalization time,and number of lymph nodes cleaned in the experimental group were lower than those in the control group,and the difference was statistically significant(p<0.05).In addition to pulmonary infection(p<0.05),there was no significant difference in the incidence of other complications between the experimental group and the control group(p>0.05).Conclusion:Minimally invasive esophageal cancer radical resection and conventional thoracotomy have good clinical effects in the treatment of esophageal cancer.Minimally invasive esophageal cancer radical surgery can effectively reduce intraoperative trauma and postoperative reaction,which is worthy of popularization and application.展开更多
文摘Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .
文摘Objective：The aim of the present study was to construct a risk assessment model which was tested by disease-free survival （DFS） of esophageal cancer after radical surgery.Methods：A total of 164 consecutive esophageal cancer patients who had undergone radical surgery between January 2005 and December 2006 were retrospectively analyzed.The cutpoint of value at risk （VaR） was inferred by stem-and-leaf plot,as well as by independent-samples t-test for recurrence-free time,further confirmed by crosstab chi-square test,univariate analysis and Cox regression analysis for DFS.Results：The cutpoint of VaR was 0.3 on the basis of our model.The rate of recurrence was 30.3 ％ （30/99）and 52.3％ （34/65） in VaR ＜0.3 and VaR ＞0.3 （chi-square test,x2 =7.984,P=0.005）,respectively.The 1-,3-,and 5-year DFS of esophageal cancer after radical surgery was 70.4％,48.7％,and 45.3％,respectively in VaR ＞≥0.3,whereas 91.5％,75.8％,and 67.3％,respectively in VaR ＜0.3 （Log-rank test,x2 =9.59,P=0.0020）,and further confirmed by Cox regression analysis [hazard ratio =2.10,95 ％ confidence interval （CI）：1.2649-3.4751; P=0.0041].Conclusions：The model could be applied for integrated assessment of recurrence risk after radical surgery for esophageal cancer.
文摘Objective:To compare the clinical effects of minimally invasive esophageal cancer radical resection and traditional esophageal cancer radical resection.Methods:200 cases of esophageal cancer radical resection were performed from July 2014 to July 2017 in our hospital.The cases were divided into experimental group and control group,82 cases in the experimental group and 118 cases in the control group.The experimental group was treated with minimally invasive esophageal cancer radical surgery,and the control group was treated with conventional thoracotomy.Record the comparison between the two groups:(1)surgical conditions,including the time of surgery,intraoperative blood loss,hospitalization time;(2)the number of lymph nodes cleaned;(3)the postoperative control group used conventional thoracotomy,including lung lesions,anastomotic fistula/narrow.Results:The parameters of operation time,intraoperative blood loss,hospitalization time,and number of lymph nodes cleaned in the experimental group were lower than those in the control group,and the difference was statistically significant(p<0.05).In addition to pulmonary infection(p<0.05),there was no significant difference in the incidence of other complications between the experimental group and the control group(p>0.05).Conclusion:Minimally invasive esophageal cancer radical resection and conventional thoracotomy have good clinical effects in the treatment of esophageal cancer.Minimally invasive esophageal cancer radical surgery can effectively reduce intraoperative trauma and postoperative reaction,which is worthy of popularization and application.
