日间手术模式下结直肠手术的发展现状与前景

Development Status and Prospect of Colorectal Surgery under Ambulatory Surgery

摘要: 结直肠手术是普外科常见的治疗手段，随着加速康复理念(ERAS)的广泛应用，患者术后住院时间显著缩短，但仍无法满足当前结直肠疾病患者的手术需求。近年来，结直肠日间手术在临床实践中逐渐开展，多项研究表明，该模式下的结直肠手术具有可行性和安全性，患者满意度高，术后并发症发生率与传统ERAS组无显著差异。然而，结直肠日间手术的推广仍面临挑战，在患者准入标准、医生准入标准、加速康复管理、入院流程管理、安全出院标准、院外监测与应急等仍存在较多争议与讨论，需要进一步研究以形成共识。本文通过分析文献对结直肠日间手术的发展及现状进行综述，相信随着结直肠日间手术围术期管理的规范，结直肠外科能够满足患者对高质量、高效率结直肠日间手术服务的需求。

Abstract: Colorectal surgery is a common treatment method in general surgery. With the wide application of the concept of enhanced rehabilitation after surgery (ERAS), the postoperative hospital stay of patients has been significantly shortened, but it still cannot meet the current surgical needs of patients with colorectal diseases. In recent years, colorectal ambulatory surgery has been gradually conducted in clinical practice, and several studies have shown that colorectal surgery in this mode has feasibility and safety, with high patient satisfaction, and the rate of postoperative complications that is not significantly different from the traditional ERAS group. However, the promotion of colorectal ambulatory surgery still faces challenges, and there are still many disputes and discussions on patient access standards, doctor access standards, accelerated rehabilitation management, admission process management, safe discharge standards, out-of-hospital monitoring and emergency response, so further research is needed to form a consensus. This paper reviews the development and current situation of colorectal ambulatory surgery, and believes that with the standardization of perioperative management of colorectal ambulatory surgery, colorectal surgery can meet the needs of patients for high-quality and efficient colorectal day surgery services.