Turel Mazda K, Bernstein Mark
a Division of Neurosurgery , Toronto Western Hospital , Toronto , Ontario , Canada.
b Department of Surgery , University of Toronto Neurosurgeon, Toronto Western Hospital, University Health Network , Toronto , Ontario , Canada.
Expert Rev Neurother. 2016;16(4):425-36. doi: 10.1586/14737175.2016.1158104. Epub 2016 Mar 17.
Technological advances in neurosurgery, aided by improvements in anesthesia have resulted in surgery that is faster, simpler and safer with excellent perioperative recovery. As a result of improved outcomes, several centers are performing certain neurosurgical procedures on an outpatient basis; where patients arrive at the hospital the morning of their procedure and leave the hospital the same evening, thus avoiding an overnight stay in the hospital. Apart from the medical benefits of the outpatient procedure, its impact on patient satisfaction is substantial. The economic benefits are extremely favorable for the patient, physician, as well as the hospital. However, due to skepticism surrounding medico-legal aspects, and how radical the concept at first sounds, these procedures have not gained widespread popularity. We provide an overview of outpatient neurosurgery discussing results, outcomes related to patients' quality of life, and impact on the economic burden on currently burgeoning health care costs.
神经外科的技术进步,在麻醉技术改进的辅助下,使得手术更快、更简单、更安全,围手术期恢复良好。由于手术效果的改善,一些中心正在开展某些神经外科手术的门诊治疗;患者在手术当天上午入院,当天晚上出院,从而避免了在医院过夜。除了门诊手术的医疗益处外,它对患者满意度的影响也很大。其经济效益对患者、医生以及医院都极为有利。然而,由于对医疗法律方面存在疑虑,以及这个概念最初听起来有多激进,这些手术尚未得到广泛普及。我们概述了门诊神经外科手术,讨论了其结果、与患者生活质量相关的预后,以及对当前不断增长的医疗保健成本所造成的经济负担的影响。