title: [Feasibility of "no tube no fasting" therapy in thoracolaparoscopic oesophagectomy for patients with oesophageal cancer].
abstract: OBJECTIVE
  To investigate the feasibility of no nasogastric intubation and early oral feeding at will after thoracolaparoscopic esophagectomy for patients with esophageal cancer.
  
  
  METHODS
  Between January 2013 and January 2014, the feasibility of no nasogastric intubation and early oral feeding at postoperative day(POD) 1 after thoracolaparoscopic esophagectomy was prospectively investigated in 156 patients (trial group) with esophageal cancer in the Henan Cancer Hospital. One hundred and sixty patients previously managed in the same unit who were treated routinely after thoracolaparoscopic esophagectomy were served as control group.
  
  
  RESULTS
  Of 156 patients of trial group, 6(3.8%) patients could not take food early as planned because of postoperative complications. The overall complication rate in trial group was 19.2%(30/156), which was 25.0%(30/160) in control group (P=0.217). The anastomotic leakage in trial group and control group was 2.6%(4/156) and 4.3%(7/160) respectively (P=0.380). Compared with control group, time to first flatus [(2.1±0.9) d vs. (3.3±1.1) d, P<0.001], bowel movement [(4.4±1.3) d vs. (6.6±1.0) d, P<0.001] and postoperative hospital stay [(8.3±3.2) d vs. (10.4±3.6) d, P<0.001] were significantly shorter in trial group.
  
  
  CONCLUSIONS
  No nasogastric intubation and early oral feeding postoperatively in patients with thoracolaparoscopic esophagectomy is feasible and safe. This management can shorten postoperative hospital stay and fasten postoperative bowel function recovery.
authors.affiliation: Department of Thoracic Surgery, The Affiliated Cancer Hospital, Zhengzhou University, Zhengzhou 450008, China. liyin825@aliyun.com.
authors.forename: Haibo
authors.initials: H
authors.lastname: Sun
authors.forename: Yin
authors.initials: Y
authors.lastname: Li
authors.forename: Xianben
authors.initials: X
authors.lastname: Liu
authors.forename: Zongfei
authors.initials: Z
authors.lastname: Wang
authors.forename: Ruixiang
authors.initials: R
authors.lastname: Zhang
authors.forename: Jianjun
authors.initials: J
authors.lastname: Qin
authors.forename: Xiufeng
authors.initials: X
authors.lastname: Wei
authors.forename: Changsen
authors.initials: C
authors.lastname: Leng
authors.forename: Junwei
authors.initials: J
authors.lastname: Zhu
authors.forename: Xiankai
authors.initials: X
authors.lastname: Chen
authors.forename: Zhao
authors.initials: Z
authors.lastname: Wu
authors.forename: Yongkui
authors.initials: Y
authors.lastname: Yu
authors.forename: Haomiao
authors.initials: H
authors.lastname: Li
mesh_terms: D004435:Eating; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy; D005215:Fasting; D005240:Feasibility Studies; D006801:Humans; D007441:Intubation, Gastrointestinal; D011183:Postoperative Complications; D011184:Postoperative Period