Clinical Research For Laparoscopic Distal Gastrectomy One Tube With Nasogastric Tube And Jejunal Feeding

Objective:A retrospective analysis was to evaluate the feasibity and effectiveness of laparoscopy assisted distal gastrectomy for gastric cancer early arresting gastrointestinal decompression and through the tube starting enteral nutrition. Provide the basis for the development of ERAS. Methods:The clinical data of 65 patients treated by laparoscopy assisted distal gastrectomy combined with ERAS from January 2014 to January 2016 in the General surgery, The First Affiliate Hospital of Shan Xi Medical University, were selected for the study.32 patients were indwelling gastrointestinal decompression tube and jejunum nutrition colostomy after surgery as a group with two tube(TT). 33 patients were only indwelling gastrointestinal decompression tube,and through the tube starting enteral nutrition as a group with one tube(OT).Then we studied the clinical data of two groups by statistical methods. Results:Compared with the two groups: the first time of exhaust and Defecation, the length of time in hospital after surgery, the proup OT was shorter than the TT group(p<0.01); OT group compared with TT group, nasogastric extubation 1.24 days late(p=0.01); The probability of abdominal distension, nausea, and vomiting, the proup of OT is higher than TT group, but the difference was not statistically significant(p > 0.05); At fifth days after operation, the HGB level in OT group was higher than that in TT group(p<0.05), the CRP level of OT group was higher than that of group TT(p<0.05), ALB level comparison(p>0.05), There was no significant difference in postoperative complications(p>0.05). Conclusion:Laparoscopic distal gastrectomy, nasogastric tube as jejunal tube, the operation is simple, convenient, cheap. The role of gastrointestinal decompression can be played in the early postoperative period. In the early stage after the operation, the enteral nutrition can be started. May can promote the postoperative rehabilitation. Improve the nutritional status of patients. Although the incidence of abdominal distension increased, but did not increase the incidence of nausea and vomiting and anastomotic leakage.