Service de chirurgie oncologique, site hospitalier Nord, boulevard J.-Monod, 44805 Nantes-Saint-Herblain, France.
J Visc Surg. 2011 Apr;148(2):e135-9. doi: 10.1016/j.jviscsurg.2011.03.005. Epub 2011 Apr 11.
Ambulatory breast surgery is not well developed in France. This is especially true for oncologic procedures,
Between January 2005 and June 2006, we performed a retrospective evaluation of the factors thought to limit the development of this type of hospitalization.
The principal limiting factors were distance restrictions (respect of the 100 km perimeter), the complexity of patient management for small breast tumors (several practitioners involved) and last, the non-motivating reimbursement policy.
By changing to the Anglo-American ("one day surgery", i.e. hospital stay less than 24 hours) or hybrid system (less than 12 hours+1 day surgery), ambulatory surgery could easily be offered to patients excluded by the current system (ambulatory department open less than 12 hours).
法国的非住院乳房手术尚不完善。这在肿瘤学手术中尤其如此。
2005 年 1 月至 2006 年 6 月，我们对限制这种类型住院治疗发展的因素进行了回顾性评估。
主要限制因素是距离限制（遵守 100 公里范围）、小乳房肿瘤患者管理的复杂性（涉及多名医生），最后是不具激励性的报销政策。
通过改为英美式（“一日手术”，即住院时间少于 24 小时）或混合式系统（少于 12 小时+1 日手术），目前系统排除的患者（门诊开放时间少于 12 小时）可以轻松接受门诊手术。
