Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial
Abstract Background This study aims to investigate the outcomes of patients who received early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophagectomy due to esophageal cancer. Methods A prospective randomized clinical trial was performed between Marc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02370-7 |
| _version_ | 1827708388770840576 |
|---|---|
| author | Wu Wang Jin-biao Xie Tian-bao Yang Shi-jie Huang Bo-yang Chen |
| author_facet | Wu Wang Jin-biao Xie Tian-bao Yang Shi-jie Huang Bo-yang Chen |
| author_sort | Wu Wang |
| collection | DOAJ |
| description | Abstract Background This study aims to investigate the outcomes of patients who received early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophagectomy due to esophageal cancer. Methods A prospective randomized clinical trial was performed between March 2020 and June 2022. Patients who were scheduled for thoracoscopic and laparoscopic esophagectomy due to esophageal cancer were enrolled. Then, these patients were assigned to the control group (traditional postoperative care) and study group (traditional postoperative care with early bronchoscopic sputum aspiration and lavage). The outcomes, which included the length of hospital stay and medical expenses, and postoperative complications, which included pulmonary infection, atelectasis, respiratory dysfunction and anastomotic leakage, were compared between these two groups. Results A total of 106 patients were enrolled for the present study, and 53 patients were assigned for the control and study groups. There were no statistically significant differences in gender, age, and location of the esophageal cancer between the two groups. Furthermore, the length of hospital stay was statistically significantly shorter and the medical expenses were lower during hospitalization in the study group, when compared to the control group (12.3 ± 1.2 vs. 18.8 ± 1.3 days, 5.5 ± 0.9 vs. 7.2 ± 1.2 Chinese Yuan, respectively; all, P < 0.05). Moreover, there were statistically significantly fewer incidences of overall complications in study group, when compared to the control group (20.7% vs.45.2%, P < 0.05). Conclusions For patients with esophageal cancer, early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophagectomy can shorten the length of hospital stay, and lower the medical expense and incidence of postoperative complications. |
| first_indexed | 2024-03-10T17:03:58Z |
| format | Article |
| id | doaj.art-79d149579c944b579805e9c4b9c89910 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-10T17:03:58Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-79d149579c944b579805e9c4b9c899102023-11-20T10:52:56ZengBMCJournal of Cardiothoracic Surgery1749-80902023-10-011811610.1186/s13019-023-02370-7Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trialWu Wang0Jin-biao Xie1Tian-bao Yang2Shi-jie Huang3Bo-yang Chen4Department of Cardiothoracic Surgery, Affiliated Hospital of Putian UniversityDepartment of Cardiothoracic Surgery, Affiliated Hospital of Putian UniversityDepartment of Cardiothoracic Surgery, Affiliated Hospital of Putian UniversityDepartment of Cardiothoracic Surgery, Affiliated Hospital of Putian UniversityDepartment of Cardiothoracic Surgery, Affiliated Hospital of Putian UniversityAbstract Background This study aims to investigate the outcomes of patients who received early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophagectomy due to esophageal cancer. Methods A prospective randomized clinical trial was performed between March 2020 and June 2022. Patients who were scheduled for thoracoscopic and laparoscopic esophagectomy due to esophageal cancer were enrolled. Then, these patients were assigned to the control group (traditional postoperative care) and study group (traditional postoperative care with early bronchoscopic sputum aspiration and lavage). The outcomes, which included the length of hospital stay and medical expenses, and postoperative complications, which included pulmonary infection, atelectasis, respiratory dysfunction and anastomotic leakage, were compared between these two groups. Results A total of 106 patients were enrolled for the present study, and 53 patients were assigned for the control and study groups. There were no statistically significant differences in gender, age, and location of the esophageal cancer between the two groups. Furthermore, the length of hospital stay was statistically significantly shorter and the medical expenses were lower during hospitalization in the study group, when compared to the control group (12.3 ± 1.2 vs. 18.8 ± 1.3 days, 5.5 ± 0.9 vs. 7.2 ± 1.2 Chinese Yuan, respectively; all, P < 0.05). Moreover, there were statistically significantly fewer incidences of overall complications in study group, when compared to the control group (20.7% vs.45.2%, P < 0.05). Conclusions For patients with esophageal cancer, early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophagectomy can shorten the length of hospital stay, and lower the medical expense and incidence of postoperative complications.https://doi.org/10.1186/s13019-023-02370-7Esophageal cancerFiberoptic bronchoscopeLavageSputum aspirationThoracoscopic and laparoscopic esophagectomyComplications |
| spellingShingle | Wu Wang Jin-biao Xie Tian-bao Yang Shi-jie Huang Bo-yang Chen Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial Journal of Cardiothoracic Surgery Esophageal cancer Fiberoptic bronchoscope Lavage Sputum aspiration Thoracoscopic and laparoscopic esophagectomy Complications |
| title | Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial |
| title_full | Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial |
| title_fullStr | Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial |
| title_full_unstemmed | Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial |
| title_short | Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial |
| title_sort | outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery a randomized clinical trial |
| topic | Esophageal cancer Fiberoptic bronchoscope Lavage Sputum aspiration Thoracoscopic and laparoscopic esophagectomy Complications |
| url | https://doi.org/10.1186/s13019-023-02370-7 |
| work_keys_str_mv | AT wuwang outcomesofearlyfiberopticbronchoscopicsputumaspirationandlavageafterthoracoscopicandlaparoscopicesophagealcancersurgeryarandomizedclinicaltrial AT jinbiaoxie outcomesofearlyfiberopticbronchoscopicsputumaspirationandlavageafterthoracoscopicandlaparoscopicesophagealcancersurgeryarandomizedclinicaltrial AT tianbaoyang outcomesofearlyfiberopticbronchoscopicsputumaspirationandlavageafterthoracoscopicandlaparoscopicesophagealcancersurgeryarandomizedclinicaltrial AT shijiehuang outcomesofearlyfiberopticbronchoscopicsputumaspirationandlavageafterthoracoscopicandlaparoscopicesophagealcancersurgeryarandomizedclinicaltrial AT boyangchen outcomesofearlyfiberopticbronchoscopicsputumaspirationandlavageafterthoracoscopicandlaparoscopicesophagealcancersurgeryarandomizedclinicaltrial |