关键词: 胸腹腔镜联合根治, 纵隔引流管, 疼痛

Abstract: Objective:To study the feasibility of abdominal mediastinal drainage tube placement for “nontube no fasting” enhanced recovery after surgery for oesophageal cancer.Methods:108 oesophageal carcinoma patients who underwent minimally invasive oesophagectomy（MIE）in our department.There were 56 cases in group A and 52 cases in group B.All patients underwent MIE by the same surgeon.Only the mediastinal canal was placed postoperatively（No chest tube,stomach tube,nutrition tube,etc）.Group A were treated with a transthoracic mediastinal drainage tube，Group B were treated with an abdominal mediastinal drainage tube.The incidence of postoperative complications and pain scores were compared between the two groups.Results:The maximum pain scores in Group B were significantly lower than those in Group A from the first to the fourth postoperative days：[（3.9±0.7）vs.（2.3±0.7），（3.5±0.8）vs.（2.1±0.7），（3.3±0.8）vs.（1.7±0.8）and（3.1±0.7）vs.（1.7±0.8），all P<0.05].Group B contained fewer postoperative analgesic drug users[（39.3% vs.15.4%），P<0.05]，included fewer cases of closed thoracic drainage[（10.7% vs.0），P<0.05].Conclusion:Mediastinal drainage tube placement in the abdominal cavity after MIE can reduce postoperative pain，promote postoperative recovery and improve postoperative quality of life.The treatment was safe and feasible.

Key words: minimally invasive oesophagectomy, mediastinal drainage tube, pain