FTS pathway | Conventional pathway | |
---|---|---|
Preoperative education | Patients were educated systematically by the esophageal clinical nurse consultant; | Patients were educated in the standard manner |
Day before surgery | ||
Diet | Last drink 2 h and diet 6 h before operation | Last drink and diet at midnight |
Fructose and protein loading | Yes | No |
Day of surgery | ||
Nasogastric tube | No routine use of nasogastric tube | Routine use of nasogastric tube |
Pre-anesthetic medication | No | Diazepam 10 mg |
Anesthesia | General anesthesia + Epidural anesthesia; | General anesthesia; |
Maintaining normothermia | Yes | No |
Transfusion | Autologous blood transfusion or limit allogenic blood transfusion | Allogenic blood transfusion |
Abdomen tube | No routine use of drains | Routine placement; Remove at POD3 |
Cervical tube | No routine use of drains | Routine placement; Remove at POD2 |
Early postoperative care | Patient sent to floor | Patient sent to ICU |
Analgesia | Epidural PCA | Analgesia by morphine or vein PCA |
Enteral nutrition | Jejunostomy tube feeding | Nasojejunal tube feeding |