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目的探讨日间手术中心开展腹腔镜下子宫手术的可行性和安全性。方法 2015年10月至2016年12月在上海交通大学医学院附属仁济医院东院日间手术中心共完成腹腔镜下全子宫切除术和子宫肌瘤剔除术95例。患者年龄(45.44±8.83)岁。其中行全子宫切除术45例,行子宫肌瘤剔除术50例。患者在门诊完成术前准备,手术当日入院,术后48h内出院。结果所有患者手术过程顺利,术中出血少,无手术并发症,没有中转开腹,术后入住日间病房。术后无发热,排气、排便恢复正常。除2例转回普通妇科病房,其余均按期出院,无出院后再入院病例。患者住院天数大大减少,医疗费用显著下降。结论日间中心完成腹腔镜下子宫手术是完全可行、安全的,有较显著的社会效应和经济效益。
Objective To investigate the feasibility and safety of day surgery center in laparoscopic uterine surgery. Methods From October 2015 to December 2016, 95 cases of laparoscopic total hysterectomy and myomectomy were completed in the day surgery center of East Hospital of Renji Hospital, Shanghai Jiaotong University School of Medicine. The patient’s age (45.44 ± 8.83) years old. Which hysterectomy 45 cases, line myomectomy 50 cases. Patients completed the preoperative preparation at the clinic, admitted to the hospital on the day of surgery and discharged within 48 hours after operation. Results All patients underwent a successful surgical procedure with less intraoperative bleeding, no surgical complications, no transit laparotomy, and daytime ward surgery. No postoperative fever, exhaust, bowel movements returned to normal. In addition to 2 cases returned to the general gynecological ward, the rest were discharged on schedule, no discharge after hospital admission cases. Patient hospital days significantly reduced, medical costs decreased significantly. Conclusions The laparoscopic uterine surgery is completely feasible and safe during the daytime, with significant social and economic benefits.