Article: Implementation and effectiveness of early chest tube removal during an enhanced recovery programme after oesophago-gastrectomy
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Bhandari, Rajeev | |
| dc.contributor.author | You Yong-hao | |
| dc.creator.affiliation | Yangtze University, Jingzhou, Hubei 434000, China. | |
| dc.creator.affiliation | Department of Surgery, Jingzhou, Hubei, Jianghan Road, Shashi District No. 55, Clinical Medical College of Yangtze University, China. | |
| dc.date.accessioned | 2026-10-05T05:24:50Z | |
| dc.date.available | 2026-10-05T05:24:50Z | |
| dc.date.issued | 2015 | |
| dc.description.abstract | Abstract Introduction: Oesophageal resection were notoriously complicated and produces a cohort of patients prone to postoperative complications and here we would like to focus on the implementation and effectiveness of early chest tube removal in ERAS after oesophago-gastrectomy considering the various aspect like pleural effusion and reducing the length of hospital stay which ultimately lead to reducing the economic burden on patient. Methods: An ERAS programme was devised and implemented with the support of a dedicated in-hospital task-force. The patients underwent esophago-gastrectomy were randomly divided into two groups: the ERAS group and the control group (non-ERAS). The ERAS group was treated with early removal of the chest tube after surgery, and the control group was treated with traditional way and outcomes were compared between them. Results: The length of hospital stay and the cost of hospitalization in the ERAS group were significantly lower than those in the control group（p<0.05. However, there was no statistical significant difference in the incidences of pleural effusion between the two groups（p＞0.05). Conclusions: The introduction of early chest tube removal as an ERAS programme after oesophago-gastrectomy would not increase the risk of pleural effusion and would not increase the total length of stay and cost of hospitalisation without jeopardising patient safety or clinical outcomes. Downloads | |
| dc.identifier.doi | https://doi.org/10.31729/jnma.2699 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7954 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.title | Implementation and effectiveness of early chest tube removal during an enhanced recovery programme after oesophago-gastrectomy | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 27 | |
| oaire.citation.startPage | 24 | |
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| relation.isJournalIssueOfPublication.latestForDiscovery | 6d395e51-c7bd-46ca-8b76-5aaef115ea67 | |
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