|Table of Contents|

Clinical observation of thoracoscopic and laparoscopic radical esophageal cancer surgery combined with early enteral nutrition support in the treatment of elderly esophageal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 01
Page:
64-68
Research Field:
Publishing date:

Info

Title:
Clinical observation of thoracoscopic and laparoscopic radical esophageal cancer surgery combined with early enteral nutrition support in the treatment of elderly esophageal cancer
Author(s):
LIN Jie; CHEN Mingzhi; GAO Pengfei
Yixing People's Hospital，Jiangsu Yixing 214200,China.
Keywords:
laparoscopic radical thoracic surgery; early enteral nutritional support; esophageal cancer; nutritional status; anastomotic fistula
PACS:
R735.1
DOI:
10.3969/j.issn.1672-4992.2024.01.011
Abstract:
Objective:To study the effect of thoracoscopic and laparoscopic radical surgery combined with early enteral nutrition support in the treatment of elderly esophageal cancer.Methods:The study subjects were 96 elderly esophageal cancer patients admitted to our hospital from January 2018 to December 2021.They were randomly divided into an observation group and a control group,with 48 patients in each group.The control group received postoperative parenteral nutrition support treatment,while the observation group received postoperative enteral nutrition support treatment.The postoperative hospitalization time,anal exhaust time,first bowel movement time,time to get out of bed,time to resume diet,as well as nutritional status indicators such as albumin(ALB),total protein(TP),prealbumin(PA),and body mass index(BMI),immune function indicators such as CD3+,CD4+,CD8+,CD4+/CD8+ were compared between the two groups.The occurrence of major complications in both groups was observed.Results:The hospitalization time,anal exhaust time,first bowel movement time,and recovery time of the observation group were all shorter than those of the control group(P<0.05).The ALB,TP,PA and BMI of the observation group were higher than those of the control group 7 days after surgery(P<0.05).The CD3+,CD4+,CD4+/CD8+ levels in the observation group were higher than those in the control group 7 days after surgery(P<0.05).The incidence of anastomotic fistula,pulmonary complications,and total complications in the observation group(P<0.05) was lower than that in the control group.Conclusion:Early enteral nutrition support can effectively improve the nutritional status of elderly patients after thoracoscopic and laparoscopic radical esophageal cancer surgery,enhance immune function,reduce complications,and promote postoperative recovery.It has significant clinical value.

References:

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Memo

Memo:
江苏大学2022年度医教协调创新基金（编号：JDY2022016）
Last Update: 2023-11-30