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.	马洪升, 蒋丽莎, 刘洋, 等. 快速康复外科理念在日间手术中的实践. 中国普外基础与临床杂志, 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, 宋应寒, 龙小清, 等. 甲状腺疾病日间手术应用效果临床初探. 肿瘤预防与治疗, 2019, 32(3): 248-252.
5.	周娇, 梁法清, 谢妍妍, 等. 华西医院日间腔镜乳腺皮下切除联合一期假体重建的临床路径简介. 中国胸心血管外科临床杂志, 2021, 28(12): 1393-1399.
6.	冯玉, 谢妍妍, 梁法清, 等. 日间乳腺癌皮下单纯切除术后一期假体重建的华西经验. 中国普通外科杂志, 2021, 30(5): 543-550.
7.	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.
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, 张祥蓉, 郝淼, 等. 胸腔镜肺叶切除术器械包需要优化吗?. 中国胸心血管外科临床杂志, 2018, 25(11): 967-970.
10.	车国卫. 加速康复外科: 肺癌手术日间化现状与策略. 中国肺癌杂志, 2020, 23(1): 1-4.
11.	陈维, 黄明君, 戴燕. 多模式疼痛管理下日间手术患者术后疼痛的影响因素分析. 华西医学, 2022, 37(2): 208-213.
12.	苏彩梅, 郭丝锦. 乳腺癌日间手术全程健康管理模式探讨. 中国卫生质量管理, 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.	董映显, 朱道君, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析. 中国肺癌杂志, 2020, 23(2): 77-83.
16.	马洪升, 李大江. 日间手术管理规范. 成都: 四川科学技术出版社, 2022: 129-130.
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18.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3): 292-298.
19.	王天佑, 胸外科围手术期肺保护中国专家共识(2019 版)专家组, 中国医学基金会胸外科专业委员会. 胸外科围手术期肺保护中国专家共识(2019 版). 中国胸心血管外科临床杂志, 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.	中华医学会麻醉学分会“成人日间手术加速康复外科麻醉管理专家共识”工作小组. 成人日间手术加速康复外科麻醉管理专家共识. 协和医学杂志, 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. 马洪升, 蒋丽莎, 刘洋, 等. 快速康复外科理念在日间手术中的实践. 中国普外基础与临床杂志, 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, 宋应寒, 龙小清, 等. 甲状腺疾病日间手术应用效果临床初探. 肿瘤预防与治疗, 2019, 32(3): 248-252.
5. 周娇, 梁法清, 谢妍妍, 等. 华西医院日间腔镜乳腺皮下切除联合一期假体重建的临床路径简介. 中国胸心血管外科临床杂志, 2021, 28(12): 1393-1399.
6. 冯玉, 谢妍妍, 梁法清, 等. 日间乳腺癌皮下单纯切除术后一期假体重建的华西经验. 中国普通外科杂志, 2021, 30(5): 543-550.
7. 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.
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, 张祥蓉, 郝淼, 等. 胸腔镜肺叶切除术器械包需要优化吗?. 中国胸心血管外科临床杂志, 2018, 25(11): 967-970.
10. 车国卫. 加速康复外科: 肺癌手术日间化现状与策略. 中国肺癌杂志, 2020, 23(1): 1-4.
11. 陈维, 黄明君, 戴燕. 多模式疼痛管理下日间手术患者术后疼痛的影响因素分析. 华西医学, 2022, 37(2): 208-213.
12. 苏彩梅, 郭丝锦. 乳腺癌日间手术全程健康管理模式探讨. 中国卫生质量管理, 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. 董映显, 朱道君, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析. 中国肺癌杂志, 2020, 23(2): 77-83.
16. 马洪升, 李大江. 日间手术管理规范. 成都: 四川科学技术出版社, 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, 胸外科围手术期肺保护中国专家共识(2019 版)专家组, 中国医学基金会胸外科专业委员会. 胸外科围手术期肺保护中国专家共识(2019 版). 中国胸心血管外科临床杂志, 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. 中华医学会麻醉学分会“成人日间手术加速康复外科麻醉管理专家共识”工作小组. 成人日间手术加速康复外科麻醉管理专家共识. 协和医学杂志, 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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