Journal of Shandong University (Health Sciences) ›› 2020, Vol. 1 ›› Issue (7): 77-81.doi: 10.6040/j.issn.1671-7554.0.2019.1247

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Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer

LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui   

  1. Department of Thoracic Surgery, Qilu Hospital, Cheloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Online:2020-07-20 Published:2020-07-10

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Abstract: Objective To analyze the operative methods of laparoscopic fine needle catheter jejunostomy, and to investigate its application effects in minimally invasive McKeown resection of esophageal cancer. Methods Clinical data of 1 023 cases undergoing minimally invasive McKeown resection of esophageal cancer by single-operation group were collected from January 2010 to December 2017. The performance of fine needle catheter jejunostomy under laparoscopy, and the incidence of complications related to jejunostomy, such as postoperative catheter site fistula, tube obstruction, intestinal obstruction and so on, were retrospectively analyzed. Results The fine needle catheter jejunostomy were successfully completed in all patients under laparoscopy, and the average operating time was(14.77±2.99)minutes,the mean bleeding volume was(2.87±0.96)mL. The complications related to jejunostomy occurred in 9 cases(0.88%), of which, 3 cases with catheter site fistula(the enteral nutrition was changed to parenteral nutrition, the dressing was changed in time, the skin around the stoma was kept clean, and zinc oxide ointment was applied locally), 3 cases with tube obstruction(parenteral nutrition support was performed before oral feeding), 1 case with jejunal fistula(a second operation was performed), 1 case with mesenteric torsion(a second operation was performed), and 1 case with incomplete intestinal obstruction(the conservative therapy was performed). Conclusion The laparascopic fine needle catheter jejunostomy is an effective approach to establish postoperative enteral nutrition for patients undergoing minimally invasive McKeown resection of esophageal cancer. The method is simple and convenient, safe and feasible, so worthy of clinical application.

Key words: Fine needle catheter, Jejunostomy, Minimally invasive, McKeown, Esophageal cancer

CLC Number: 

  • R615
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