Colon and Rectal Surgical Services, Montefiore Medical Center, Bronx, NY, USA; Department of Surgery, The University Hospital for Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, NY 10461, USA.
Department of Surgery, The University Hospital for Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, NY 10461, USA; Montefiore Medical Center, Bronx, NY, USA.
Adv Surg. 2023 Sep;57(1):279-285. doi: 10.1016/j.yasu.2023.04.008. Epub 2023 May 25.
The potential to discharge patients safely within the same day after colorectal surgery has developed over time with concurrent advances in concepts of enhanced recovery pathways, along with minimally invasive techniques available to surgeons. The advent of planned same-day discharges after elective colectomy is made possible by research establishing improved length of stay with minimal morbidity in patients undergoing minimally invasive surgery and especially minimally invasive surgery in the setting of an enhanced recovery after surgery (ERAS) protocol. In tracing the timeline of research and development of knowledge in this setting, the safety of outpatient colorectal surgery can be established.
随着加速康复通道理念的发展以及外科医生微创技术的进步，结直肠手术后患者在同一天安全出院的可能性也逐渐增加。通过研究证实，微创外科手术患者的住院时间缩短，发病率降低，尤其是在术后加速康复（ERAS）方案的背景下，微创外科手术更是如此，择期结肠切除术患者实现当天出院成为可能。通过追溯这一背景下研究和知识发展的时间线，可以确定门诊结直肠手术的安全性。
