腹腔镜下胃癌根治术后未留置鼻胃管的安全性和可行性

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Abstract Objective To investigate the safety and feasibility of leaving no indwelling nasogastric tube after laparoscopic gastrectomy for gastric cancer. Methods The clinical data on patients who had undergone laparoscopic-assisted laparoscopic gastrectomy at the Department of General Surgery between January 2016 and June 2018 was retrospectively analyzed. The patients were divided into the perioperative indwelling nasogastric tube group (control group) and a non-indwelling nasogastric tube group (observation group), with 150 cases in each, Intraoperative and postoperative indexes of monitoring were analyzed and compared between the two groups. The postoperative levels of hemoglobin (Hb) and C-reactive protein (CRP) were measured, while complications were recorded. Results There was no statistically significant difference in the duration of surgery, bleeding volume or the number of blood transfusions between the two groups (P>0.05), while the first bowel sounds, first exhaust, first defecation and first postoperative feeding, length of hospital stay and medical cost in the control group compared much unfavorably with those in the observation group, and the difference was statistically significant (P<0.05). There was no significant difference in levels of Hb and CRP between the two groups before operation, or in Hb levels at 5 d after operation, but the CRP level was significantly lower in the observation group than in the control group (P<0.05). The postoperative rates of sore throat and pulmonary infections in the observation group were significantly lower than those in the control group (P<0.05). Conclusions Laparoscopic gastrectomy for gastric cancer without indwelling gastric tubes can significantly promote patients’ postoperative recovery, shorten hospital stay, and reduce the incidence of postoperative pulmonary infections and sore throat.

Key words： laparoscopy gastric cancer nasogastric tube short-term effect

Received: 10 April 2021

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	LIU Langbiao
	NIU Lei
	YIN Jie
	CAI Jun
	HAN Chengxin

Cite this article:

LIU Langbiao,NIU Lei,YIN Jie等. Safety and feasibility of leaving no nasogastric tube after laparoscopic gastrectomy for gastric cancer[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(11): 950-953.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I11/950

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