A clinical study on the effects of early fiberoptic bronchoscopic lavage and sputum aspiration on pulmonary complications after minimally invasive esophageal cancer surgery / 中华老年医学杂志

ABSTRACT

Objective:To explore the role of fiberoptic bronchoscopic lavage and sputum aspiration in preventing and treating pulmonary complications after esophageal cancer surgery.Methods:Clinical data of 98 patients undergone minimally invasive esophageal cancer treatment in our hospital from January 2016 to January 2019 were retrospectively analyzed.Fifty patients undergone bronchoscopic lavage and sputum aspiration were assigned to the experimental group and 48 patients receiving routine physical therapy to the control group.The incidences of pulmonary infection, respiratory failure, anastomotic leakage, drainage tube retention time after operation, duration of antibiotic use, average length of stay, etc., were compared between the two groups.Results:The incidences of pulmonary infection(20.0% vs.45.8%, χ2=7.43, P=0.006), respiratory failure(2.0% vs. 12.5%, χ2=4.07, P=0.000), drainage tube retention time[(7.7±1.9)d vs. (9.9±2.3) d, t=-5.28, P=0.000)], antibiotic use time[(8.2±1.5) d and (11.6±2.5) d, t=-5.90, P=0.000)]were lower in the experimental group than in the control group.There was no significant difference in the incidence of anastomotic leakage or the average hospitalization time between the two groups(all P>0.05). Conclusions:Early sputum aspiration via fiberoptic bronchoscope after minimally invasive esophageal cancer surgery can reduce perioperative risks for complications, improve the therapeutic efficacy, and should be encouraged in clinical practice.