A single center study on the safety and short-term quality of life of early oral feeding after esophageal cancer surgery
Objective To observe the safety of early postoperative oral feeding based on the concept of rapid rehabilitation surgery and its impact on the short-term quality of life of patients.Methods A prospective study was conducted on patients who underwent minimally invasive radical surgery for esophageal cancer in our center.130 patients were randomly divided into two groups:the early feeding group and the late feeding group,with 65 cases in each group.Compare postoperative exhaust,defecation time,hospital stay,and incidence of complications between two groups.Evaluate the recent quality of life of patients using the European Organization for the Treatment of Cancer(EORTC)Quality of Life Inventory QLQ-C30 before surgery,1 week after surgery,and 4 weeks after surgery.Results A total of 127 patients completed the study,with 64 in the early eating group and 63 in the late eating group.The time of first postoperative defecation and hospitalization in the early eating group were(2.1±0.7)d,(3.5±1.1)d,(7.8±3.1)d,shorter than that in the late eating group(3.4±0.9)d,(5.7±1.5)d,(11.4±5.8)d(t=9.094,9.435,4.371,P＜0.05).The incidence of complications in two groups was 38.06％vs.36.51％(x2=0.088,P=0.767).There was no statistically significant difference in the scores of each dimension of the QLQ-C30 scale between the two groups one week before surgery(P＞0.05).At 1 week and 4 weeks after surgery,the comprehensive quality of life dimension and functional dimension of the early eating group were higher than those of the late eating group's(t=2.623,4.014,3.327,2.353,P＜0.05).The symptom dimension score were lower than that of the late eating group's(t=2.077,3.051,P＜0.05).There was no statistically significant difference in the score of a single item and the score of economic difficulties between 1 week and 4 weeks after surgery,with(P＞0.05).Conclusion Early postoperative oral feeding based on the concept of rapid recovery surgery can promote gastrointestinal function recovery,shorten hospital stay,improve short-term quality of life for patients undergoing minimally invasive esophageal cancer radical surgery,and does not significantly increase the risk of postoperative complications.
Accelerated rehabilitation surgeryNurseEsophageal cancerEarly oral feedingQuality of life
万方数据
维普
