Sheha Evan D, Derman Peter B
Hospital for Special Surgery, New York, NY, USA.
Texas Back Institute, Plano, TX, USA.
J Spine Surg. 2019 Sep;5(Suppl 2):S181-S190. doi: 10.21037/jss.2019.08.06.
The positive safety profile and potential cost savings associated with ambulatory spine surgery have resulted in an increasing number of spine procedures being performed on an outpatient basis. As indications become more inclusive and the variety and volume of ambulatory procedures grow, the incidence of complications may rise. Limiting adverse events in the outpatient setting starts with patient selection. Surgeons should be aware of the potential complications and associated risk factors for common ambulatory spine procedures and employ strategies to limit and appropriately manage them. Protocols which include patient education, multimodal anesthesia and analgesia, standardized post-operative monitoring, and safe discharge planning are also essential for maximizing safety in the ambulatory setting.
门诊脊柱手术良好的安全性以及潜在的成本节约，使得越来越多的脊柱手术在门诊进行。随着手术适应症范围扩大以及门诊手术种类和数量的增加，并发症的发生率可能会上升。在门诊环境中限制不良事件首先要做好患者选择。外科医生应了解常见门诊脊柱手术的潜在并发症及相关风险因素，并采用策略来限制和妥善处理这些问题。包括患者教育、多模式麻醉和镇痛、标准化术后监测以及安全出院计划在内的方案，对于在门诊环境中最大限度地提高安全性也至关重要。
