CAJ | 학술논문

目的：评价ARROW中心静脉置管套件在全腔镜食管癌根治术中的可行性。方法：回顾性分析2013年2月至2014年4月复旦大学附属肿瘤医院88例食管癌患者的临床资料，分为两组，一组为接受全腔镜Ivor-Lewis食管癌根治术而行空肠造口术的48例患者，另一组为食管癌术后接受鼻饲管营养的40例患者，比较两组患者术前和术后开始经口进食前营养指标的变化，以及非计划拔除营养管比例。结果：空肠造口组和鼻饲管营养组在食管癌手术前后，患者的营养指标差异无统计学意义，但空肠造口组的非计划拔管率显著小于鼻饲管营养组。结论：使用Arrow中心静脉置管套件行腹腔镜下空肠造口术是可行的，具有简便、耐受性好的优点，值得临床推广。
목적：평개ARROW중심정맥치관투건재전강경식관암근치술중적가행성。방법：회고성분석2013년2월지2014년4월복단대학부속종류의원88례식관암환자적림상자료，분위량조，일조위접수전강경Ivor-Lewis식관암근치술이행공장조구술적48례환자，령일조위식관암술후접수비사관영양적40례환자，비교량조환자술전화술후개시경구진식전영양지표적변화，이급비계화발제영양관비례。결과：공장조구조화비사관영양조재식관암수술전후，환자적영양지표차이무통계학의의，단공장조구조적비계화발관솔현저소우비사관영양조。결론：사용Arrow중심정맥치관투건행복강경하공장조구술시가행적，구유간편、내수성호적우점，치득림상추엄。
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 un-derwent 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.