| 汪永和,魏祥志,岳庆峰,等.空肠营养管盲置在食管癌Ivor-Lewis术中的应用[J].安徽医药,2019,23(9):1828-1830. |
| 空肠营养管盲置在食管癌Ivor-Lewis术中的应用 |
| Application of blinded placement of nasojejunal tube during Ivor-Lewis esophagectomy |
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| DOI：10.3969/j.issn.1009-6469.2019.09.033 |
| 中文关键词: 食管肿瘤 食管切除术 Ivor-Lewis 鼻-空肠营养管 |
| 英文关键词: Esophageal neoplasms Esophagectomy Lvor-Lewis Esophagectomynasojejunal feeding tube |
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| 中文摘要: |
| 目的 探讨Ivor-Lewis术中盲置空肠营养管的方法。方法 2015年1月至2016年12月合肥市第三人民医院实施Ivor-Lewis食管中下段癌切除术病人19例，均采用盲置空肠营养管。主要步骤包括:(1)经腹游离胃；(2)食管肿瘤切除和胃食管胸内吻合；(3)在巡回护士协助下，术者经食管裂孔盲置空肠营养管。结果 所有病例未发生营养管相关不良事件，19例均成功放置。结论 Ivor-Lewis食管癌切除术中盲置空肠营养管是一种可行的置入方式。外科医生通过练习可以熟练掌握。 |
| 英文摘要: |
| Objective To investigate the feasibility of the blinded placement of nasojejunal tube during Ivor-Lewis esophagectomy.Methods Nineteen patients (14 males and 5 females) with esophageal carcinoma underwent Ivor-Lewis esophagectomy in The Third People--s Hospital of Hefeifrom January 2015 to December 2016 were included.All patients were treated with blind jejunal nutrition tube.Briefly，the general surgical procedures were performed as follows:(1) stomach mobilization；(2)esophageal carcinoma resection and intra-thoracic esophagogatrostomyvia right posterolateral thoracotomy；(3) blinded placement of feeding tube through the nostrils and jejunum of patients under the guidance of the roving nurse.Results No feeding tube-associated adverse event was observed.19 patients were successfully placed.Conclusion The novel forward blinded placement of nasojejunal feeding tube during Ivor-Lewis esophagectomy provides a non-invasive，feasiblemethod for postoperative nutritional support.Surgeons could grasp this technique successfully in practice. |
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