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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4.	税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨. 中国卫生事业管理, 2011, 28(增刊1): 63-65.
5.	雷甜甜, 宋应寒, 吕修和, 等. 集中管理模式下的消化道息肉日间手术管理实践. 中华医院管理杂志, 2020, 36(2): 136-139.
6.	中国研究型医院学会加速康复外科专业委员会, 中国日间手术合作联盟. 胆道外科日间手术规范化流程专家共识(2018 版). 中华外科杂志, 2018, 56(5): 321-327.
7.	吴晋垣. 日间手术室建设模式与要点. 中国医院建筑与装备, 2016(7): 25.
8.	马洪升. 日间手术. 北京: 人民卫生出版社, 2016.
9.	慎利亚, 李方. 《消化内镜诊疗技术管理规范》解读. 中华消化内镜杂志, 2014, 31(8): 429-430.
10.	苑伟, 雷甜甜, 文茂瑶, 等. 四川大学华西医院日间手术患者管理模式初探. 华西医学, 2019, 34(2): 188-192.
11.	王兴鹏, 朱新伟. 日间手术的实践. 上海: 上海交通大学出版社, 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.	中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
18.	蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
19.	常健, 沈慧丽, 盛怡, 等. 基于快速康复的日间手术护理质量探索. 中国卫生质量管理, 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.
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22.	国家卫计委发布最新版临床路径管理指导原则. 医学信息学杂志, 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, 冯丹, 王博, 等. 日间手术服务质量安全管理标准研究. 中华医院管理杂志, 2018, 34(12): 989-994.
27.	杨晓宇, 王健, 孟彦, 等. 中国日间手术在探索中前行. 中国卫生经济, 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, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
4. 税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨. 中国卫生事业管理, 2011, 28(增刊1): 63-65.
5. 雷甜甜, 宋应寒, 吕修和, 等. 集中管理模式下的消化道息肉日间手术管理实践. 中华医院管理杂志, 2020, 36(2): 136-139.
6. 中国研究型医院学会加速康复外科专业委员会, 中国日间手术合作联盟. 胆道外科日间手术规范化流程专家共识(2018 版). 中华外科杂志, 2018, 56(5): 321-327.
7. 吴晋垣. 日间手术室建设模式与要点. 中国医院建筑与装备, 2016(7): 25.
8. 马洪升. 日间手术. 北京: 人民卫生出版社, 2016.
9. 慎利亚, 李方. 《消化内镜诊疗技术管理规范》解读. 中华消化内镜杂志, 2014, 31(8): 429-430.
10. 苑伟, 雷甜甜, 文茂瑶, 等. 四川大学华西医院日间手术患者管理模式初探. 华西医学, 2019, 34(2): 188-192.
11. 王兴鹏, 朱新伟. 日间手术的实践. 上海: 上海交通大学出版社, 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. 中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
18. 蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
19. 常健, 沈慧丽, 盛怡, 等. 基于快速康复的日间手术护理质量探索. 中国卫生质量管理, 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. 国家卫计委发布最新版临床路径管理指导原则. 医学信息学杂志, 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, 冯丹, 王博, 等. 日间手术服务质量安全管理标准研究. 中华医院管理杂志, 2018, 34(12): 989-994.
27. 杨晓宇, 王健, 孟彦, 等. 中国日间手术在探索中前行. 中国卫生经济, 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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