甲状腺日间手术中国专家共识(2021版)

Chinese expert consensus on thyroid day surgery(2021 Edition)

日间手术经过60余年的发展,以高效、安全性和经济性在欧美等医疗发达国家广泛开展。国内日间手术发展起步较晚,目前只有少数三甲医院开展甲状腺日间手术。近年来随着加速康复外科(ERAS)理念在外科领域的不断深入应用,甲状腺外科ERAS也进入临床实践,成效显著。此外,多项新技术在甲状腺外科领域的应用提高了手术安全性,降低了术后并发症的发生率。中国日间手术合作联盟(CASA)首批推荐的56种手术方式中,甲状腺术式占4种。受诸多因素影响,国内甲状腺日间手术的开展仍存在一些争议和困难,但逐渐得到行业专家和病患的理解和认可,并积累了一定的宝贵经验。为此,中国抗癌协会甲状腺癌专业委员会、头颈肿瘤专业委员会和中国研究型医院学会甲状腺疾病专业委员会的国内相关专家,多次进行线上和线下研讨,力求不断完善,基本达成共识,共同制定了“甲状腺日间手术中国专家共识(2021版)”。

With over 60 years of development,day surgery(ambulatory surgery),for its efficiency,safety and economic benefits,has been widely carried out in countries with advanced medical technologies such as many European countries and the United States.However,the starting time of day surgery in China is relatively late,and there are few grade-A tertiary hospitals that are performing thyroid day surgery at present.As a result of the increasingly intensive use of the concept of enhanced recovery after surgery(ERAS)in all surgical fields in recent years,ERAS protocols have also been incorporated into the thyroid surgery practice,with remarkable results achieved.Furthermore,the application of various novel techniques in thyroid surgery also improves the surgical safety and reduces the incidence of postoperative complications.Among the total of 56 surgical procedures selected by the first recommendation of the Chinese Ambulatory Surgery Alliance(CASA),4 types are thyroid procedures.Although there are still some controversies and difficulties in promoting thyroid day surgery in China caused by many factors,it is being gradually recognized and accepted by both the medical practitioners and patient parties,together with a great deal of valuable experience accumulated.Therefore,relevant domestic experts from the Chinese Association of Thyroid Oncology and the Chinese Association of Head and Neck Oncology as well as Chinese Research Hospital Association Thyroid Disease Committee jointly developed the Chinese expert consensus on thyroid day surgery(2021 Edition)after detailed discussions both online and offline,striving for perfection and reaching a general agreement.