To evaluate the value of optimal nursing care under the guidance of rapid rehabilitation concept in the operation of patients with total laparoscopic esophageal cancer.

Eighty patients with esophageal cancer surgery were randomly divided into experimental group(42 cases)and control group(38 cases). The nursing measures adopted in the experimental group are presetting nutrition tube and intraoperative prevention of low temperature while in the control group conventional postoperative nasal jejunal nutrition tubes were placed.The clinical data in two groups including the time of the placement of nutrient tube, postoperative nasal bleeding and epiglottis edema, pulmonary infection, atelectasis, respiratory failure and inflammatory factors (tumor necrosis factor alpha, C-reactive protein, interleukin-6) were recorded and analyzed.

The intubation time required by the experimental group was (5.1±0.8) min, which was significantly shorter than that of the control group (8.2±1.3) min (P<0.05). The incidence of postoperative nasal bleeding, epiglottic edema, pulmonary infection, atelectasis and respiratory failure was lower than those of the control group (P<0.05). The level of inflammatory factors 24h after surgery was also significantly lower than that of the control group (P<0.05).

Presetting nutrition tube and intraoperative warming method can shorten the intubation time of nutrient tube, reduce the incidence of postoperative nasal bleeding and epiglottis edema, pulmonary infection, atelectasis and respiratory failure, and also the postoperative inflammatory factors, which promotes rapid recovery of patients and is worthy of clinical promotion.