Title: Early oral feeding enhanced recovery after surgery for esophageal cancer: A single-center consecutive retrospective study of 130 cases
Abstract: Objective
To investigate the effect of early oral feeding enhanced recovery after surgery (ERAS) for esophageal cancer in the clinical settings.
Methods
The clinical data of 130 patients with esophageal cancer received early oral feeding ERAS management during the perioperative period of esophageal cancer between February 2016 and August 2017 in Gaozhou Municipal People’s Hospital were included in the study. The study included preoperative general clinical data, intraoperative and postoperative related indicators and follow-up.
Results
A total of 130 patients received thoracic laparoscopy and radical resection of esophageal cancer with small neck incision after admission, and all patients recovered and discharged home successfully after the operation. General data were as follows: male: female ratio, 68: 63; age, 64±8 years old; BMI, 20.9±2.7; 13 cases with hypertension before operation and 5 cases with diabetes history; 10, 105 and 15 cases with tumors at the upper segment, middle segment and lower segment, respectively; average length of tumors: 4.1±1.6 cm. The average operation time was (323.5±68.9) min, and the average operative blood loss was (83.8±44.8) ml; (5±2) stations and (19±9) pieces of lymph nodes were dissected; the postoperative ICU stay was (1.1±0.4) d; the average duration of postoperative thoracic drainage was (4.9±2.2) d, and the pleural fluid volume was (1173.5±761.1) ml. Postoperative complications included 4 cases of postoperative anastomotic leakage, 34 of postoperative abdominal distention with 8 necessitating dietary fasting and placement of nasogastric tube for gastrointestinal decompression, 7 of pulmonary infection, 8 of chylothorax, 17 of hoarseness and 2 of severe dysphagia. There were 35 cases with postoperative pathological stage Ⅰ, 56 with stage Ⅱ, 36 with stage Ⅲ, and 3 with stage Ⅳ tumors. Postoperative length of hospital stay was (10.7±3.9) d. The postoperative follow-up time was 1 to 18 months, and 1 patient died during the follow-up.
Conclusion
Oral feeding ERAS for esophageal cancer is a safe and effective management strategy. The treatment mode favors the early postoperative rehabilitation of patients with esophageal cancer, and may shorten the length of hospital stay.
Key words:
Esophageal cancer; Minimally invasive; Enhanced recovery after surgery
Publication Year: 2018
Publication Date: 2018-08-15
Language: en
Type: article
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