PubMed:23691488 JSONTXT 2 Projects

Effect of vacuum sealed drainage on recovery of gastrointestinal function in gastric cancer patients after radical gastrectomy. OBJECTIVE: This study aims to explore the effect of vacuum sealed drainage on the recovery of gastrointestinal function in gastric patients after radical gastrectomy. METHODS: One hundred and twenty patients who received radical for gastric cancer were randomly divided into two groups. Patients in the control group received continuous gastrointestinal decompression to drain the gastric juices after radical gastrectomy, whereas patients in the treatment group received vacuum sealed drainage. The postoperative variables between the two groups were compared, including time of bowel sound reoccurrence, time of the first flatus, indwelling time of gastric tube, days of hospitalization, and complications, such as anastomotic leakage, intestinal obstruction, wound infection, pulmonary infection, fever, and pharyngitis. SPSS 13.0 was used to analyze the data. RESULTS: SIGNIFICANT DIFFERENCES IN THE FOLLOWING VARIABLES WERE OBSERVED IN PATIENTS BETWEEN THE TWO GROUPS: time of bowel sound reoccurrence, time of the first flatus, indwelling time of gastric tube, and length of hospitalization of the patients. The value of each of these variables was much smaller in the treatment group than in the control group (P<0.05). No significant difference was found in the incidence of anastomotic leakage, intestinal obstruction, and wound infection among patients between the two groups (P>0.05). However, a significant differences were observed in the incidence of pulmonary infection, fever, and pharyngitis among the patients between the two groups (P<0.05), with much lower incidence of the variables in the treatment group than in the control group. CONCLUSIONS: Vacuum sealed drainage used in gastric cancer patients after radical gastrectomy can accelerate the recovery of gastrointestinal function and reduce postoperative complications. Moreover, it shortens the indwelling time of the gastric tube, thereby making the patients feel comfortable without the disturbance from the gastric tube.