https://scholars.lib.ntu.edu.tw/handle/123456789/543592
標題: | Nasogastric tube decompression is unnecessary in patients undergoing laparoscopic nephroureterectomy for localized upper tract urothelial carcinoma | 作者: | Hsu F.-S. Huang W.-Y. Chen Y.-F. Wu L.-Y. Wang S.-M. KUO-HOW HUANG |
關鍵字: | Laparoscopic nephroureterectomy; Nasogastric tube; Upper tract urothelial carcinoma | 公開日期: | 2020 | 出版社: | Elsevier B.V. | 卷: | 119 | 期: | 9 | 起(迄)頁: | 1353-1359 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/purpose: This study investigates the safety and feasibility to perform laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC) without routine nasogastric tube (NGT) decompression. Methods: The hospital-based samples comprised of 100 consecutive UTUC patients receiving elective LNU performed by two experienced surgeons. The nationwide data was based on LHID2005 composed of one million beneficiaries randomly selected from the Taiwan National Health Insurance Research Database to identify patients with the diagnoses of UTUCs receiving LNUs. We then compared baseline characteristics, peri-operative data, convalescence parameters and complications between two groups stratified by use of NGT tube. Results: The hospital-based samples composed of 50 subjects with NGT and 50 without. There were no significant differences in baseline characteristics between two groups. Peri-operative and convalescence parameters were similar when comparing no NGT versus NGT: blood loss of 206 vs. 165 mL; operative time of 180.5 vs.181.1 min; days to intake was 2.1 vs.1.7 days; and hospital stay of 7.8 vs. 7.5 days (all p > 0.05). The nationwide study samples comprised 140 subjects, of which 72 were with NGT and 68 were with no NGT. The baseline data, complications and length of hospital stay were similar between two groups. Conclusion: Surgery-na?ve patients with localized UTUC received LNU without peri-operative NGT is safe and feasible. ? 2019 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076238650&doi=10.1016%2fj.jfma.2019.11.011&partnerID=40&md5=1706fef211a6cd6278c61337bc22bbd0 https://scholars.lib.ntu.edu.tw/handle/123456789/543592 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2019.11.011 | SDG/關鍵字: | aged; Article; cancer surgery; convalescence; feasibility study; female; human; laparoscopic surgery; length of stay; major clinical study; male; nephroureterectomy; operation duration; operative blood loss; patient safety; Taiwan; transitional cell carcinoma; decompression; digestive tract intubation; epidemiology; laparoscopy; treatment outcome; Carcinoma, Transitional Cell; Decompression; Humans; Intubation, Gastrointestinal; Laparoscopy; Nephroureterectomy; Taiwan; Treatment Outcome |
顯示於: | 醫學系 |
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