Exploration and practice of day surgery in Department of Gastroenterology of West China Hospital of Sichuan University_West China Medical Journal

Authors：

LEI Tiantian ¹ , MA Hongsheng ¹ ,  YANG Jinlin ²

1. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YANG Jinlin, Email: yangjinlin@wchscu.cn

Keywords：

Day surgery; service pattern; management process; quality assurance

DOI：

10.7507/1002-0179.202107096

Video：

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As one of the crucial measures in the action plan for improving health services, day surgery is committed to efficiently integrating medical resources and improving the quality of medical services. Nowadays, public hospitals in China are vigorously promoting the day surgery cases. The normalization of day surgery is also one of the major goals for the Department of Gastroenterology to meet the current medical needs and explore sub-professional development in line with the discipline’s advantages. Taking the current status of day surgery in the Department of Gastroenterology of West China Hospital of Sichuan University as an example, this paper explores and constructs the “Huaxi Model of Day Surgery in the Department of Gastroenterology”, focusing on the management mode, operation process, operation implementation, quality and safety assurance of day surgery, so as to facilitate the exchange of experiences.

Citation： LEI Tiantian, MA Hongsheng, YANG Jinlin. Exploration and practice of day surgery in Department of Gastroenterology of West China Hospital of Sichuan University. West China Medical Journal, 2022, 37(2): 267-273. doi: 10.7507/1002-0179.202107096 Copy

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2.	International Association for Ambulatory Surgery (IAAS). Day Surgery Booklet. [2021-07-02]. https://www.iaas-med.com/index.php/eu-projects/srss-project/day-surgery-booklet.
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5.	雷甜甜, 宋應寒, 呂修和, 等. 集中管理模式下的消化道息肉日間手術管理實踐. 中華醫院管理雜志, 2020, 36(2): 136-139.
6.	中國研究型醫院學會加速康復外科專業委員會, 中國日間手術合作聯盟. 膽道外科日間手術規范化流程專家共識(2018 版). 中華外科雜志, 2018, 56(5): 321-327.
7.	吳晉垣. 日間手術室建設模式與要點. 中國醫院建筑與裝備, 2016(7): 25.
8.	馬洪升. 日間手術. 北京: 人民衛生出版社, 2016.
9.	慎利亞, 李方. 《消化內鏡診療技術管理規范》解讀. 中華消化內鏡雜志, 2014, 31(8): 429-430.
10.	苑偉, 雷甜甜, 文茂瑤, 等. 四川大學華西醫院日間手術患者管理模式初探. 華西醫學, 2019, 34(2): 188-192.
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12.	Gupta S, Lieberman D, Anderson JC, et al. Recommendations for follow-up after colonoscopy and polypectomy: a consensus update by the us multi-society task force on colorectal cancer. Gastrointest Endosc, 2020, 91(3): 463-485.e5.
13.	Oude Nijhuis RAB, Zaninotto G, Roman S, et al. European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations. United European Gastroenterol J, 2020, 8(1): 13-33.
14.	Khashab MA, Vela MF, Thosani N, et al. ASGE guideline on the management of achalasia. Gastrointest Endosc, 2020, 91(2): 213-227.e6.
15.	Sami SS, Haboubi HN, Ang Y, et al. UK guidelines on oesophageal dilatation in clinical practice. Gut, 2018, 67(6): 1000-1023.
16.	Burr NE, Everett SM. Management of benign oesophageal strictures. Frontline Gastroenterol, 2019, 10(2): 177-181.
17.	中華醫學會麻醉學分會. 日間手術麻醉專家共識. 臨床麻醉學雜志, 2016, 32(10): 1017-1022.
18.	蔣麗莎, 謝曉蘭, 戴燕, 等. 四川大學華西醫院日間手術入院前管理規范. 華西醫學, 2019, 34(2): 133-136.
19.	常健, 沈慧麗, 盛怡, 等. 基于快速康復的日間手術護理質量探索. 中國衛生質量管理, 2018, 25(4): 22-24.
20.	Lin D, Soetikno RM, McQuaid K, et al. Risk factors for postpolypectomy bleeding in patients receiving anticoagulation or antiplatelet medications. Gastrointest Endosc, 2018, 87(4): 1106-1113.
21.	Veitch AM, Vanbiervliet G, Gershlick AH, et al. Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines. Endoscopy, 2016, 48(4): 385-402.
22.	國家衛計委發布最新版臨床路徑管理指導原則. 醫學信息學雜志, 2017, 38(8): 94.
23.	Choung BS, Kim SH, Ahn DS, et al. Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study. J Clin Gastroenterol, 2014, 48(9): 784-789.
24.	Sorbi D, Norton I, Conio M, et al. Postpolypectomy lower GI bleeding: descriptive analysis. Gastrointest Endosc, 2000, 51(6): 690-696.
25.	Shalman D, Gerson LB. Systematic review with meta-analysis: the risk of gastrointestinal haemorrhage post-polypectomy in patients receiving anti-platelet, anti-coagulant and/or thienopyridine medications. Aliment Pharmacol Ther, 2015, 42(8): 949-956.
26.	朱玉, 馮丹, 王博, 等. 日間手術服務質量安全管理標準研究. 中華醫院管理雜志, 2018, 34(12): 989-994.
27.	楊曉宇, 王健, 孟彥, 等. 中國日間手術在探索中前行. 中國衛生經濟, 2020, 39(4): 19-22.

1. Nicoll JH. The surgery of infancy. BMJ, 1909: 753-754.
2. International Association for Ambulatory Surgery (IAAS). Day Surgery Booklet. [2021-07-02]. https://www.iaas-med.com/index.php/eu-projects/srss-project/day-surgery-booklet.
3. 白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
4. 稅章林, 石應康, 馬洪升, 等. 日間手術定義、范疇在我國適用的探討. 中國衛生事業管理, 2011, 28(增刊1): 63-65.
5. 雷甜甜, 宋應寒, 呂修和, 等. 集中管理模式下的消化道息肉日間手術管理實踐. 中華醫院管理雜志, 2020, 36(2): 136-139.
6. 中國研究型醫院學會加速康復外科專業委員會, 中國日間手術合作聯盟. 膽道外科日間手術規范化流程專家共識(2018 版). 中華外科雜志, 2018, 56(5): 321-327.
7. 吳晉垣. 日間手術室建設模式與要點. 中國醫院建筑與裝備, 2016(7): 25.
8. 馬洪升. 日間手術. 北京: 人民衛生出版社, 2016.
9. 慎利亞, 李方. 《消化內鏡診療技術管理規范》解讀. 中華消化內鏡雜志, 2014, 31(8): 429-430.
10. 苑偉, 雷甜甜, 文茂瑤, 等. 四川大學華西醫院日間手術患者管理模式初探. 華西醫學, 2019, 34(2): 188-192.
11. 王興鵬, 朱新偉. 日間手術的實踐. 上海: 上海交通大學出版社, 2009.
12. Gupta S, Lieberman D, Anderson JC, et al. Recommendations for follow-up after colonoscopy and polypectomy: a consensus update by the us multi-society task force on colorectal cancer. Gastrointest Endosc, 2020, 91(3): 463-485.e5.
13. Oude Nijhuis RAB, Zaninotto G, Roman S, et al. European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations. United European Gastroenterol J, 2020, 8(1): 13-33.
14. Khashab MA, Vela MF, Thosani N, et al. ASGE guideline on the management of achalasia. Gastrointest Endosc, 2020, 91(2): 213-227.e6.
15. Sami SS, Haboubi HN, Ang Y, et al. UK guidelines on oesophageal dilatation in clinical practice. Gut, 2018, 67(6): 1000-1023.
16. Burr NE, Everett SM. Management of benign oesophageal strictures. Frontline Gastroenterol, 2019, 10(2): 177-181.
17. 中華醫學會麻醉學分會. 日間手術麻醉專家共識. 臨床麻醉學雜志, 2016, 32(10): 1017-1022.
18. 蔣麗莎, 謝曉蘭, 戴燕, 等. 四川大學華西醫院日間手術入院前管理規范. 華西醫學, 2019, 34(2): 133-136.
19. 常健, 沈慧麗, 盛怡, 等. 基于快速康復的日間手術護理質量探索. 中國衛生質量管理, 2018, 25(4): 22-24.
20. Lin D, Soetikno RM, McQuaid K, et al. Risk factors for postpolypectomy bleeding in patients receiving anticoagulation or antiplatelet medications. Gastrointest Endosc, 2018, 87(4): 1106-1113.
21. Veitch AM, Vanbiervliet G, Gershlick AH, et al. Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines. Endoscopy, 2016, 48(4): 385-402.
22. 國家衛計委發布最新版臨床路徑管理指導原則. 醫學信息學雜志, 2017, 38(8): 94.
23. Choung BS, Kim SH, Ahn DS, et al. Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study. J Clin Gastroenterol, 2014, 48(9): 784-789.
24. Sorbi D, Norton I, Conio M, et al. Postpolypectomy lower GI bleeding: descriptive analysis. Gastrointest Endosc, 2000, 51(6): 690-696.
25. Shalman D, Gerson LB. Systematic review with meta-analysis: the risk of gastrointestinal haemorrhage post-polypectomy in patients receiving anti-platelet, anti-coagulant and/or thienopyridine medications. Aliment Pharmacol Ther, 2015, 42(8): 949-956.
26. 朱玉, 馮丹, 王博, 等. 日間手術服務質量安全管理標準研究. 中華醫院管理雜志, 2018, 34(12): 989-994.
27. 楊曉宇, 王健, 孟彥, 等. 中國日間手術在探索中前行. 中國衛生經濟, 2020, 39(4): 19-22.

West China Medical Journal

Exploration and practice of day surgery in Department of Gastroenterology of West China Hospital of Sichuan University

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