法国内分泌外科协会2023版日间甲状腺切除术共识解读

Interpretation of 2023 French Consensus on Daytime Thyroidectomy Consensus by AFCE

随着日间手术在欧美等医疗发达国家的广泛应用,其高效性、安全性和经济性备受认可,目前已有60余年的发展历程。然而,国内日间手术的发展起步较晚。近年来,随着加速康复外科(ERAS)这一理念在外科医学中的深入实施,甲状腺外科的ERAS也逐渐在临床得到应用,并已获得了显著治疗效果。另外,许多新技术应用于甲状腺外科领域,增加了手术安全性,减少了术后并发症的发生。尽管如此,甲状腺日间手术的开展仍存在一些争议和困难。法国的《日间甲状腺切除术共识(2023版)》(以下简称共识)是由法国内分泌外科协会(AFCE)提出的,并得到了法国内分泌学会(SFE)和法国核医学会(SFMN)的联合推荐。这一共识对指导甲状腺日间手术临床应用与实践具有重要意义。本研究以共识核心精神为依据,从术前患者教育、围手术期处理、术后护理及术后并发症的观察与处理、出院标准及术后延续性护理等方面进行论述,同时强调多学科团队合作在确保甲状腺手术围术期患者安全中的重要意义,展望今后研究趋势,以期对临床实践提供借鉴。

With the widespread adoption of day surgery in developed countries such as Europe and the United States,its efficiency,safety,and cost-effectiveness have been well recognized,and it has a development history spanning more than 60 years.However,in China,the development of day surgery has started relatively late.In recent years,the concept of Enhanced Recovery After Surgery(ERAS)has been increasingly implemented in the field of surgery,and its application in thyroid surgery has gradually become part of clinical practice,showing remarkable outcomes.Furthermore,the introduction of various new technologies in thyroid surgery has enhanced surgical safety and reduced postoperative complications.Despite these advances,the implementation of thyroid day surgery still faces several challenges and controversies.The"French Consensus on Daytime Thyroidectomy(2023 Edition)"was proposed by the Francophone Association of Endocrine Surgery(AFCE)and jointly endorsed by the French Society of Endocrinology(SFE)and the French Society of Nuclear Medicine(SFMN).This consensus provides valuable guidance for the clinical application and practice of thy-roid day surgery.This study,grounded in the core principles of the guidelines,explores key aspects such as preoperative patient educa-tion,perioperative management,postoperative care,the observation and management of complications,discharge criteria,and continu-ity of postoperative care.It also highlights the crucial role of multidisciplinary teamwork in ensuring the perioperative safety of thyroid sur-gery patients,while offering insights for future research and potential improvements in clinical practice.