West China experience in perioperative management of fourth-level day surgery based on enhanced recovery after surgery concept_West China Medical Journal

Authors：

HUANG Mingjun ¹ , LIANG Peng ² , WANG Yu ¹ ,  DAI Yan ¹

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DAI Yan, Email: dai1175@163.com

Keywords：

Enhanced recovery after surgery; day surgery; fourth-level surgery; rehabilitation

DOI：

10.7507/1002-0179.202310031

Video：

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As the concept of enhanced recovery after surgery (ERAS) has promoted the revolution of day surgery, more complicated surgery such as radical resection of early cancer and other fourth-level surgery can be performed in day surgery mode. Since 2010, West China Hospital of Sichuan University has introduced ERAS program and gradually performed fourth-level surgery in day surgery center. With the measures of reasonable inclusion criteria, team construction, and optimization of treatment and nursing procedures, the quality and safety of day surgery are guaranteed. Between January 2019 and August 2023, a total of 2531 patients underwent 24-hour fourth-level day surgery for early cancer, with a delayed discharge rate of 2.09%, a readmission rate of 2.57%, and a readmission rate of 1.11%, without death case, and the patient satisfaction was above 98%. The perioperative management scheme of fourth-level day surgery provides a reference for the management of day surgery for more diseases.

Citation： HUANG Mingjun, LIANG Peng, WANG Yu, DAI Yan. West China experience in perioperative management of fourth-level day surgery based on enhanced recovery after surgery concept. West China Medical Journal, 2024, 39(2): 295-299. doi: 10.7507/1002-0179.202310031 Copy

1.	馬洪升, 蔣麗莎, 劉洋, 等. 快速康復外科理念在日間手術中的實踐. 中國普外基礎與臨床雜志, 2015, 22(11): 1384-1385.
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3.	Jiang L, Lei T, Zhou K, et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage I non-small cell lung cancer in day surgery patients. Thorac Cancer, 2021, 12(21): 2865-2872.
4.	蔡雨廷, 宋應寒, 龍小清, 等. 甲狀腺疾病日間手術應用效果臨床初探. 腫瘤預防與治療, 2019, 32(3): 248-252.
5.	周嬌, 梁法清, 謝妍妍, 等. 華西醫院日間腔鏡乳腺皮下切除聯合一期假體重建的臨床路徑簡介. 中國胸心血管外科臨床雜志, 2021, 28(12): 1393-1399.
6.	馮玉, 謝妍妍, 梁法清, 等. 日間乳腺癌皮下單純切除術后一期假體重建的華西經驗. 中國普通外科雜志, 2021, 30(5): 543-550.
7.	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.
8.	Dong Y, Li J, Chang J, et al. Video-assisted thoracoscopic day surgery for patients with pulmonary nodules: a single-center clinical experience of 200 cases. Cancer Manag Res, 2021, 13: 6169-6179.
9.	涂雪花, 張祥蓉, 郝淼, 等. 胸腔鏡肺葉切除術器械包需要優化嗎?. 中國胸心血管外科臨床雜志, 2018, 25(11): 967-970.
10.	車國衛. 加速康復外科: 肺癌手術日間化現狀與策略. 中國肺癌雜志, 2020, 23(1): 1-4.
11.	陳維, 黃明君, 戴燕. 多模式疼痛管理下日間手術患者術后疼痛的影響因素分析. 華西醫學, 2022, 37(2): 208-213.
12.	蘇彩梅, 郭絲錦. 乳腺癌日間手術全程健康管理模式探討. 中國衛生質量管理, 2021, 28(5): 30-33.
13.	Zhu W, Huang M, Dai Y, et al. Influencing factors for delayed discharge following day surgery: a retrospective case-control study. Int J Nurs Pract, 2022, 28(2): e12951.
14.	Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth, 2012, 109(5): 742-753.
15.	董映顯, 朱道君, 車國衛, 等. 肺癌日間手術操作流程與臨床應用效果分析. 中國肺癌雜志, 2020, 23(2): 77-83.
16.	馬洪升, 李大江. 日間手術管理規范. 成都: 四川科學技術出版社, 2022: 129-130.
17.	Deng B, Qian K, Zhou JH, et al. Optimization of chest tube management to expedite rehabilitation of lung cancer patients after video-assisted thoracic surgery: a meta-analysis and systematic review. World J Surg, 2017, 41(8): 2039-2045.
18.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3): 292-298.
19.	王天佑, 胸外科圍手術期肺保護中國專家共識(2019 版)專家組, 中國醫學基金會胸外科專業委員會. 胸外科圍手術期肺保護中國專家共識(2019 版). 中國胸心血管外科臨床雜志, 2019, 26(9): 835-842.
20.	Himbert C, Klossner N, Coletta AM, et al. Exercise and lung cancer surgery: a systematic review of randomized-controlled trials. Crit Rev Oncol Hematol, 2020, 156: 103086.
21.	中華醫學會麻醉學分會“成人日間手術加速康復外科麻醉管理專家共識”工作小組. 成人日間手術加速康復外科麻醉管理專家共識. 協和醫學雜志, 2019, 10(6): 562-569.
22.	Darvall JN, Handscombe M, Leslie K. Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial. Br J Anaesth, 2017, 118(1): 83-89.
23.	Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS^?) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg, 2019, 55(1): 91-115.

1. 馬洪升, 蔣麗莎, 劉洋, 等. 快速康復外科理念在日間手術中的實踐. 中國普外基礎與臨床雜志, 2015, 22(11): 1384-1385.
2. Ploussard G, Almeras C, Beauval JB, et al. Same-day discharge surgery for robot-assisted radical prostatectomy in the era of ERAS and prehabilitation pathways: a contemporary, comparative, feasibility study. World J Urol, 2022, 40(6): 1359-1365.
3. Jiang L, Lei T, Zhou K, et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage I non-small cell lung cancer in day surgery patients. Thorac Cancer, 2021, 12(21): 2865-2872.
4. 蔡雨廷, 宋應寒, 龍小清, 等. 甲狀腺疾病日間手術應用效果臨床初探. 腫瘤預防與治療, 2019, 32(3): 248-252.
5. 周嬌, 梁法清, 謝妍妍, 等. 華西醫院日間腔鏡乳腺皮下切除聯合一期假體重建的臨床路徑簡介. 中國胸心血管外科臨床雜志, 2021, 28(12): 1393-1399.
6. 馮玉, 謝妍妍, 梁法清, 等. 日間乳腺癌皮下單純切除術后一期假體重建的華西經驗. 中國普通外科雜志, 2021, 30(5): 543-550.
7. 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.
8. Dong Y, Li J, Chang J, et al. Video-assisted thoracoscopic day surgery for patients with pulmonary nodules: a single-center clinical experience of 200 cases. Cancer Manag Res, 2021, 13: 6169-6179.
9. 涂雪花, 張祥蓉, 郝淼, 等. 胸腔鏡肺葉切除術器械包需要優化嗎?. 中國胸心血管外科臨床雜志, 2018, 25(11): 967-970.
10. 車國衛. 加速康復外科: 肺癌手術日間化現狀與策略. 中國肺癌雜志, 2020, 23(1): 1-4.
11. 陳維, 黃明君, 戴燕. 多模式疼痛管理下日間手術患者術后疼痛的影響因素分析. 華西醫學, 2022, 37(2): 208-213.
12. 蘇彩梅, 郭絲錦. 乳腺癌日間手術全程健康管理模式探討. 中國衛生質量管理, 2021, 28(5): 30-33.
13. Zhu W, Huang M, Dai Y, et al. Influencing factors for delayed discharge following day surgery: a retrospective case-control study. Int J Nurs Pract, 2022, 28(2): e12951.
14. Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth, 2012, 109(5): 742-753.
15. 董映顯, 朱道君, 車國衛, 等. 肺癌日間手術操作流程與臨床應用效果分析. 中國肺癌雜志, 2020, 23(2): 77-83.
16. 馬洪升, 李大江. 日間手術管理規范. 成都: 四川科學技術出版社, 2022: 129-130.
17. Deng B, Qian K, Zhou JH, et al. Optimization of chest tube management to expedite rehabilitation of lung cancer patients after video-assisted thoracic surgery: a meta-analysis and systematic review. World J Surg, 2017, 41(8): 2039-2045.
18. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3): 292-298.
19. 王天佑, 胸外科圍手術期肺保護中國專家共識(2019 版)專家組, 中國醫學基金會胸外科專業委員會. 胸外科圍手術期肺保護中國專家共識(2019 版). 中國胸心血管外科臨床雜志, 2019, 26(9): 835-842.
20. Himbert C, Klossner N, Coletta AM, et al. Exercise and lung cancer surgery: a systematic review of randomized-controlled trials. Crit Rev Oncol Hematol, 2020, 156: 103086.
21. 中華醫學會麻醉學分會“成人日間手術加速康復外科麻醉管理專家共識”工作小組. 成人日間手術加速康復外科麻醉管理專家共識. 協和醫學雜志, 2019, 10(6): 562-569.
22. Darvall JN, Handscombe M, Leslie K. Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial. Br J Anaesth, 2017, 118(1): 83-89.
23. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS^?) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg, 2019, 55(1): 91-115.

West China Medical Journal

West China experience in perioperative management of fourth-level day surgery based on enhanced recovery after surgery concept

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