Abstract:
Objective To evaluate the feasibility and safety of laparoscopic jejunostomy with central venous catheterization set (CVC, Arrow International Inc., USA) during the operation of totally minimally invasive Ivor-Lewis esophagectomy (MIIE).
Methods The clinical data of 88 patients with esophageal squamous cell carcinoma who were admitted to the Fudan University Cancer Hospital from February 2013 to April 2014 were retrospectively analyzed.Among them, 48 patients with early mid-lower esophageal cancer underwent laparoscopic jejunostomy with CVC, and 40 patients accepted nasogastric tube nutrition.Short-term clinical outcomes were collected.
Results No significant difference in nutrition index was found between the two groups, but the rate of unplanned extubation in the laparoscopic jejunostomy with CVC group was less than that in the nasogastric tube nutrition group.
Conclusion Laparoscopic jejunostomy with CVC set is a safe and feasible technique.It is potentially accepted as an optional approach in MIIE for post-operative nutrition support.