Effect Of The Multi-Disciplinary Teamwork On Postoperative Recovery And Complications Of Elderly Patients After Thoracoscopic-Lapacoscopic Esophagectomy

Objective: This study was designed to analyze the effect of the multi-disciplinary teamwork (MDT) in nursing elderly patients with esophageal cancer after thoracoscopic-lapacoscopic esophagectomy (TLE). Methods: 72 elderly patients clinically diagnosed with esophageal cancer in our hospital were included as the study objects for retrospective analysis of clinical materials, and they were divided into 2 groups based on the timing of admission. The control group (n=36) was routinely nursed, while the observation group (n=36) was applied with a MDT. The two groups were compared in postoperative recovery, nutritional status and incidences of complications. Results: (1) The first time of getting out of the bed, urinary catheter indwelling time and postoperative LOS in the observation group were 16.54 +/- 3.92 h, 92.46 +/- 35.19 h and 13.52 +/- 3.29 d, while those of in the control group were 35.64 +/- 7.81 h, 125.43 +/- 46.90 h and 17.63 +/- 4.21 d, (P<0.05). (2) The observation group demonstrated a postoperative incidence of complications of 13.89%, while that of the control group was 36.11% (P<0.05). (3) For SGA scores 10 d and 1 month after the surgery, both groups showed a significant intragroup reduction as compared with the data 1 d before the surgery (P<0.05), and the SGA scores in the observation group was significantly lower than that of the control group (P<0.05). (4) The observation group attained a pain intensity score obviously lower than that of the control group at 2 d, 3 d, 4 d and 5 d after the surgery, and 91.67% of its patients were satisfied with the nursing, which was significantly higher than the control group reporting a satisfaction percentage of 72.22% (P<0.05). Conclusion: The MDT has demonstrated its satisfactory application value by making contributions to the alleviated postoperative pain intensity and complications, and accelerated postoperative recovery in elderly patients who received a TLE.