Analysis Of Laparoscopic Feeding Jejunostomy In69Patients

ObjectiveThis article aims to analyze the safety and feasibility of laparoscopic feeding jejunostomy during minimal invasive esophagectomy, and to investigate the clinical outcomes of enteral nutritional support with feeding tube placement.MethodsWe retrospectively analyzed69patients who received laparoscopic feeding jejunostomy in Thoracic Surgery Department of the Second Affiliated Hospital of Zhejiang University College of Medicine from January2014to March2015. There were58male and11female patients with a mean age of59.2.65patients were diagnosed as esophageal carcinoma before surgery, of which63had resectable one. They received laparoscopic feeding jejunostomy additionally during minimal invasive esophagectmy. The other2just received laparoscopic feeding jejunostomy solely as unresectable esophageal carcinoma. There were other4patients who were diagnosed as spontaneous rupture of esophagus, caustic injury of esophagus, foreign body in esophagus leading to esophageal perforation and leiomyoma of the esophagus respectively. They also received laparoscopic feeding jejunostomy additionally besides relevant surgery.Results67patients underwent laparoscopic feeding jejunostomy successfully with2patients conversions to laparotomy. After surgery,1patient died as cardiopulmonary arrest,1had a complication of incomplete intestinal obstruction and1had an infection of abdominal wall. There were no catheter blockage, displacement, dislodgement and breakage etc. in duration of hospital stay. The weight and BMI(body mass index) of patients descended after surgery compared with those before surgery (P<0.05). The serumal albumin concentration of patients is higher in the postoperative9th day than in the postoperative1st day with the intake of enteral nutrition by the feeding tube (P<0.05).ConculsionLaparoscopic feeding jejunostomy during minimal invasive esophagectomy is safe and feasible with a low morbidity and mortality of associated complication. It can be done additionally during minimal invasive esophagectomy which needs to operate in abdomen. It can provide early and long-term enteral nutrition support for patients with esophageal diseases especially esophageal carcinoma after surgery, which is of benefit to fast recovery.