CORFLO营养管在胸腔镜Ivor Lewis食管癌及贲门癌根治术中的应用  

Application of CORFLO Feeding Tube after Video-assisted Thoracoscopic Ivor Lewis Esophagogastrectomy for Esophageal Cancer and Cardiac Adenocarcinoma

作　　者：陆超敬[1] 杨立信[1] 陈和忠[1] 徐志云[1] 

机构地区：[1]第二军医大学长海医院胸外科,上海200433

出　　处：《中国胸心血管外科临床杂志》2016年第12期1154-1157,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的 探讨CORFLO营养管在胸腔镜Ivor Lewis食管癌及贲门癌根治术后行肠内营养的可行性。方法 回顾性分析我科2014年10月至2016年1月行胸腔镜Ivor Lewis食管癌、贲门癌根治术107例患者的临床资料,其中10例术中行空肠造瘘,97例行小肠营养管置入,男60例、女37例,中位年龄66（47-75）岁。结果97例置管患者中,中位置管时间7（3-11）min,中位置管深度83（75-90）cm;术中一次置管成功率77.3%（75/97）,术后床旁二次置管成功8例,总成功率85.6%（83/97）。食管癌患者置管成功率88.5%（77/87）,贲门癌患者置管成功率60.0%（6/10）。结论 盲插CORFLO营养管在胸腔镜Ivor Lewis食管癌及贲门癌根治术中是可行的,且安全、简单、无创、有效具有可重复性。Objective To explore the feasibility of CORFLO feeding tube in enternal nutrition after videoassisted thoracoscopic Ivor Lewis esophagogastrectomy for esophageal cancer and cardiac adenocarcinoma. Methods A total of 107 patients with esophageal cancer and cardiac adenocarcinoma undergoing video-assisted thoracoscopic Ivor Lewis esophagectomy or resection of cardiac adenocarcinoma in our department between October 2014 and lanuary 2016 were enrolled, among whom 10 patients received jejunostomy and 97 patients （60 males, 37 females, median age of 66 years, range, 47-75 years） received the insertion of CORFLO feeding tubes. Results In 97 cases with insertion of feeding tubes, median insertion time was 7 （3-11） min and median depth was 83 （75-90） cm. The first-attempt success rate during the operation was 77.3% （75/97）, and the second attempt at the bedside postoperatively was successful in 8 cases. The overall success rate was 85.6% （83/97）. Insertion was successful in 77 esophageal cancer patients and 6 cardiac adenocarcinoma patients. Conclusion Blind insertion of CORFLO feeding tube in video-assisted thoracoscopic Ivor Lewis esophagogastrectomy for esophageal cancer and cardiac adenocarcinoma is feasible and safe. This noninvasive method is simple, effective and repeatable.

关 键 词：食管癌 Ivor LEWIS 鼻空肠营养管 

分 类 号：R735[医药卫生—肿瘤]