A comparative study of day operation in West China Hospital of Sichuan University and the nationally recommended catalogue for day surgery_West China Medical Journal

Authors：

FANG Lu , LEI Tiantian , LIU Yang , MA Hongsheng ,  LIANG Peng

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIANG Peng, Email: liangpeng@wchscu.cn

Keywords：

Daytime medical treatment; day surgery; conducted surgical procedures; recommended surgical procedures; classification of surgical procedures; surgical classification

DOI：

10.7507/1002-0179.202308065

Video：

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Objective To analyze the current status of day surgery in West China Hospital of Sichuan University and compare it with the Recommended Catalogue of Day Surgery (2022 Edition), in order to provide reference for the update and expansion of day surgery procedures in hospitals. Methods The day surgical procedures carried out in West China Hospital of Sichuan University from October 2009 to July 2023 were collected. The day surgical procedures were classified based on surgical specialties, types of procedures, methods of operation, and surgical grading, etc. The day surgical procedures in West China Hospital of Sichuan University were compared with those in the Recommended Catalogue of Day Surgery (2022 Edition). Results A total of 576 types of daytime surgeries were carried out in West China Hospital of Sichuan University, involving 15 specialties. A total of 662 types of day surgeries were recommend in the nationally recommended catalogue for daytime surgery, involving 11 specialties. Among the nationally recommended surgical procedures, West China Hospital of Sichuan University had carried out 233 types of surgical procedures, and 26 additional types of surgical procedures were carried out as outpatient surgeries. According to the classification of surgical difficulty, the Level Ⅱ and Ⅲ surgeries were mainly carried out in West China Hospital of Sichuan University, and the Level Ⅱ surgeries were mainly recommend in the nationally recommended catalogue for day surgery. Conclusions The high-quality development of day surgery in China should not be limited to the supplement of surgical procedures. It is necessary to strive to increase the proportion of minimally invasive and fourth-level surgeries while ensuring medical quality and safety, and improve the overall medical level of day surgery.

Citation： FANG Lu, LEI Tiantian, LIU Yang, MA Hongsheng, LIANG Peng. A comparative study of day operation in West China Hospital of Sichuan University and the nationally recommended catalogue for day surgery. West China Medical Journal, 2024, 39(2): 190-194. doi: 10.7507/1002-0179.202308065 Copy

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3.	王琦, 夏曉丹, 平恩杰, 等. 普外科日間手術模式的應用效果分析. 中國基層醫藥, 2019, 26(17): 2101-2104.
4.	鄭佳, 伍冀湘, 王寧利, 等. 我院開展日間手術的效果評價與分析. 中國醫院管理, 2014, 34(8): 27-29.
5.	Hoggett L, Anderton MJ, Khatri M. 30-day complication rates and patient-reported outcomes following day case primary lumbar microdiscectomy in a regional NHS spinal centre. Ann R Coll Surg Engl, 2019, 101(1): 50-54.
6.	Solodkyy A, Feretis M, Fedotovs A, et al. Elective “true day case” laparoscopic inguinal hernia repair in a district general hospital: lessons learned from 1000 consecutive cases. Minim Invasive Surg, 2018, 2018: 7123754.
7.	Wang L, Baser O, Wells P, et al. Benefit of early discharge among patients with low-risk pulmonary embolism. PLoS One, 2017, 12(10): e0185022.
8.	馬洪升. 日間醫療服務的展望. 華西醫學, 2016, 31(4): 601-602.
9.	Liu C, Wang K, Chan Q, et al. Intravoxel incoherent motion MR imaging for breast lesions: comparison and correlation with pharmacokinetic evaluation from dynamic contrast-enhanced MR imaging. Eur Radiol, 2016, 26(11): 3888-3898.
10.	孫輝, 明敏馨, 馬旭東. 我國二、三級醫療機構日間手術發展現狀分析. 中國醫院管理, 2022, 42(3): 48-51.
11.	徐潔. 日間“半徑”. 中國醫院院長, 2018(18): 54-59.
12.	國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發醫療機構手術分級管理辦法的通知. 中華人民共和國國家衛生健康委員會公報, 2022 (12): 10-14.
13.	Rebibo L, Maurice KK, Nimier M, et al. Laparoscopic sleeve gastrectomy as day-case surgery: a review of the literature. Surg Obes Relat Dis, 2019, 15(7): 1211-1217.
14.	Aryaie AH, Reddy V, Dattilo Z, et al. Safety of same-day discharge after laparoscopic sleeve gastrectomy: propensity score-matched analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Registry. Surg Obes Relat Dis, 2021, 17(1): 46-54.
15.	何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
16.	蔣麗莎, 詹麗莉, 沈誠, 等. 日間手術模式下胸腔鏡手術治療肺結節的安全性分析. 華西醫學, 2020, 35(2): 152-155.
17.	何平. 成都市某三甲醫院日間手術開展情況的調查分析. 醫藥前沿, 2019, 9(8): 252-255.
18.	孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.

1. Fox JP, Vashi AA, Ross JS, et al. Hospital-based, acute care after ambulatory surgery center discharge. Surgery, 2014, 155(5): 743-753.
2. 馬洪升, 戴燕. 日間手術治療模式國內外發展簡述. 中國醫院管理, 2012, 32(1): 47-48.
3. 王琦, 夏曉丹, 平恩杰, 等. 普外科日間手術模式的應用效果分析. 中國基層醫藥, 2019, 26(17): 2101-2104.
4. 鄭佳, 伍冀湘, 王寧利, 等. 我院開展日間手術的效果評價與分析. 中國醫院管理, 2014, 34(8): 27-29.
5. Hoggett L, Anderton MJ, Khatri M. 30-day complication rates and patient-reported outcomes following day case primary lumbar microdiscectomy in a regional NHS spinal centre. Ann R Coll Surg Engl, 2019, 101(1): 50-54.
6. Solodkyy A, Feretis M, Fedotovs A, et al. Elective “true day case” laparoscopic inguinal hernia repair in a district general hospital: lessons learned from 1000 consecutive cases. Minim Invasive Surg, 2018, 2018: 7123754.
7. Wang L, Baser O, Wells P, et al. Benefit of early discharge among patients with low-risk pulmonary embolism. PLoS One, 2017, 12(10): e0185022.
8. 馬洪升. 日間醫療服務的展望. 華西醫學, 2016, 31(4): 601-602.
9. Liu C, Wang K, Chan Q, et al. Intravoxel incoherent motion MR imaging for breast lesions: comparison and correlation with pharmacokinetic evaluation from dynamic contrast-enhanced MR imaging. Eur Radiol, 2016, 26(11): 3888-3898.
10. 孫輝, 明敏馨, 馬旭東. 我國二、三級醫療機構日間手術發展現狀分析. 中國醫院管理, 2022, 42(3): 48-51.
11. 徐潔. 日間“半徑”. 中國醫院院長, 2018(18): 54-59.
12. 國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發醫療機構手術分級管理辦法的通知. 中華人民共和國國家衛生健康委員會公報, 2022 (12): 10-14.
13. Rebibo L, Maurice KK, Nimier M, et al. Laparoscopic sleeve gastrectomy as day-case surgery: a review of the literature. Surg Obes Relat Dis, 2019, 15(7): 1211-1217.
14. Aryaie AH, Reddy V, Dattilo Z, et al. Safety of same-day discharge after laparoscopic sleeve gastrectomy: propensity score-matched analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Registry. Surg Obes Relat Dis, 2021, 17(1): 46-54.
15. 何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
16. 蔣麗莎, 詹麗莉, 沈誠, 等. 日間手術模式下胸腔鏡手術治療肺結節的安全性分析. 華西醫學, 2020, 35(2): 152-155.
17. 何平. 成都市某三甲醫院日間手術開展情況的調查分析. 醫藥前沿, 2019, 9(8): 252-255.
18. 孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.

West China Medical Journal

A comparative study of day operation in West China Hospital of Sichuan University and the nationally recommended catalogue for day surgery

Abstract Full text Figures/Tables Video References Cited by

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