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[西班牙外科医生协会门诊手术委员会关于门诊手术在SARS-CoV-2大流行中作用的共识]

[Consensus of the ambulatory surgery commite section of the Spanish Association of Surgeons on the role of ambulatory surgery in the SARS-CoV-2 pandemic].

作者信息

Morales-García Dieter, Docobo-Durantez Fernando, Capitán Vallvey J M, Suarez-Grau Juan Manuel, Campo-Cimarras María Eugenia, González-Vinagre Salustiano, Hidalgo-Grau Luis Antonio, Puigcercos-Fusté J M, Zaragoza-Fernández Cristóbal, Valera-Sánchez Zoraida, Vega-Ruiz Vicente

机构信息

Sección de Cirugía Mayor Ambulatoria, Asociación Española de Cirujanos, Madrid, España.

Hospital Universitario «Marqués de Valdecilla», Instituto de Investigación IDIVAL, Santander, España.

出版信息

Cir Esp. 2022 Mar;100(3):115-124. doi: 10.1016/j.ciresp.2021.04.012. Epub 2021 Apr 27.

DOI:10.1016/j.ciresp.2021.04.012
PMID:33994557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8075840/
Abstract

The current situation of the SARS-CoV-2 pandemic has paralyzed non-urgent and/or oncological surgery in many hospitals in our country with what it means for the health of citizens who are awaiting a surgical procedure. Outpatient Surgery can afford more than 85% of the surgical procedures that are performed in a surgical department and is presented as a feasible and safe alternative at the present time since it does not require admission and decreases clearly the risk of infection. In addition, it is the tool that should be generalized to solve the accumulation of patients on the waiting list that the pandemic is generating, so it seems appropriate that the Ambulatory Surgery section of the Spanish Association of Surgeons present a series of recommendations for the implementation of outpatient surgery in these exceptional circumstances that we have to live.

摘要

新型冠状病毒肺炎大流行的现状使我国许多医院的非紧急和/或肿瘤外科手术陷入瘫痪，这对等待外科手术的公民健康产生了影响。门诊手术能够承担外科科室85%以上的手术，并且由于无需住院且能显著降低感染风险，目前被视为一种可行且安全的替代方案。此外，它是解决大流行导致的候诊名单上患者积压问题应推广的手段，因此西班牙外科医生协会门诊手术分会针对在我们不得不经历的这些特殊情况下实施门诊手术提出一系列建议似乎是恰当的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/369aa76cf12d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/e23a2895e457/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/e747a6effcee/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/369aa76cf12d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/e23a2895e457/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/e747a6effcee/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac29/8075840/369aa76cf12d/gr2_lrg.jpg

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本文引用的文献

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Anaesthesia. 2021 Jun;76(6):748-758. doi: 10.1111/anae.15458. Epub 2021 Mar 9.
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Resource requirements for reintroducing elective surgery during the COVID-19 pandemic: modelling study.在 COVID-19 大流行期间重新引入择期手术的资源需求：建模研究。
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Recommendations on intervention for hepatobiliary oncological surgery during the COVID-19 pandemic.
COVID-19 疫情期间肝胆肿瘤外科干预的建议。
Cir Esp (Engl Ed). 2021 Mar;99(3):174-182. doi: 10.1016/j.ciresp.2020.10.010. Epub 2020 Dec 16.
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Position Statement of the Surgery-AEC-COVID Working Group of the Spanish Association of Surgeons on the Planning of Surgical Activity During the Second Wave of the SARS-CoV-2 Pandemic: Surgery Must Continue.西班牙外科医生协会手术-AEC-COVID工作组关于SARS-CoV-2大流行第二波期间手术活动规划的立场声明：手术必须继续。
Cir Esp (Engl Ed). 2021 Feb;99(2):77-79. doi: 10.1016/j.ciresp.2020.10.013. Epub 2020 Oct 29.
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Elective Surgery during the Covid-19 Pandemic.2019冠状病毒病大流行期间的择期手术
N Engl J Med. 2020 Oct 29;383(18):1787-1790. doi: 10.1056/NEJMclde2028735.
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Recommendations for acting in elective and urgent thoracic surgery during SARS-CoV-2 pandemic. Spanish Society of Thoracic Surgery.2019冠状病毒病大流行期间择期和急诊胸外科手术的操作建议。西班牙胸外科学会
Cir Esp (Engl Ed). 2020 Dec;98(10):574-581. doi: 10.1016/j.ciresp.2020.08.005. Epub 2020 Sep 3.
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Obesity and SARS-CoV-2: Considerations on bariatric surgery and recommendations for the start of surgical activity.肥胖与 SARS-CoV-2：减重手术的相关考虑因素和启动手术活动的建议。
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A prospective cohort study of the impact of covid19 world pandemic on the management of emergency surgical pathology.一项关于新冠疫情对急诊手术病理管理影响的前瞻性队列研究。
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A dynamic scale for surgical activity (DYSSA) stratification during the COVID-19 pandemic.新冠疫情期间手术活动的动态分级（DYSSA）分层
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