Exploration and practice of extended rehabilitation mode for thoracoscopic pulmonary nodule day surgery_West China Medical Journal

Authors：

DAI Yao ¹ , TU Mingyang ² , JIANG Lisha ² ,  LIANG Peng ²

1. General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIANG Peng, Email: liangpengwch@scu.edu.cn

Keywords：

Day surgery; pulmonary nodule; video-assisted thoracic surgery; extended rehabilitation

DOI：

10.7507/1002-0179.202411162

Video：

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In order to optimize the postoperative rehabilitation path of patients undergoing fourth-level day surgery, West China Hospital of Sichuan University has learned from the abroad “recovery hotel” mode and innovatively regarded the primary rehabilitation institution as an extended service carrier for thoracoscopic lung nodule day surgery. This extended rehabilitation mode based on primary rehabilitation institutions is not only beneficial for shortening the hospitalization period and reducing medical costs, but also ensures medical safety through a standardized postoperative monitoring system, providing innovative solutions for the full process management of day surgeries. This article will introduce the specific implementation methods and preliminary practical results of the extended rehabilitation mode mentioned above.

Citation： DAI Yao, TU Mingyang, JIANG Lisha, LIANG Peng. Exploration and practice of extended rehabilitation mode for thoracoscopic pulmonary nodule day surgery. West China Medical Journal, 2025, 40(2): 282-285. doi: 10.7507/1002-0179.202411162 Copy

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3.	沈坚, 吴恵静, 滕知轶. 日间手术质量安全管理: 上海市第一人民医院的实践. 中国卫生质量管理, 2018, 25(4): 4-5, 9.
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7.	袁华娣, 叶佳. 基于互联网的日间手术患者服务管理 APP 的设计与应用. 护理与康复, 2023, 22(5): 69-70.
8.	赖小琴, 宋应寒, 马洪升, 等. 日间手术医院-社区一体化服务模式改进效果分析. 华西医学, 2017, 32(11): 1689-1692.
9.	董映显, 朱道君, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析. 中国肺癌杂志, 2020, 23(2): 77-83.
10.	中华医学会麻醉学分会. 成人日间手术后镇痛专家共识(2017). 临床麻醉学杂志, 2017, 33(8): 812-815.
11.	国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组, 车国卫. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
12.	李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646, 658.
13.	孙博, 刘雷, 王东光. 国内日间手术发展进程、存在问题与对策建议. 中国卫生质量管理, 2018, 25(5): 17-20.
14.	Makary MA, Sexton JB, Freischlag JA, et al. Patient safety in surgery. Ann Surg, 2006, 243(5): 628-635.
15.	McHugh M. Pause for thought - surgical time out: before or after painting & draping. A quality improvement project. Dublin: Royal College of Surgeons in Ireland, 2016.
16.	刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.
17.	McCloud C, Harrington A, King L. Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study. J Adv Nurs, 2012, 68(1): 94-103.

1. Nicoll JH. The surgery of infancy. Paediatr Anaesth, 1909, 2(2542): 753-754.
2. 陆志聪. 日间手术在香港的发展. 中国医院管理, 1997(7): 31.
3. 沈坚, 吴恵静, 滕知轶. 日间手术质量安全管理: 上海市第一人民医院的实践. 中国卫生质量管理, 2018, 25(4): 4-5, 9.
4. 税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨. 中国卫生事业管理, 2011, 28(增刊 1): 63-65.
5. Li X, Liu Y, Zhou Y, et al. Day surgery unit robotics thoracic surgery: feasibility and management. J Cancer Res Clin Oncol, 2023, 149(10): 7831-7836.
6. 吴佳男. 从“日间”到“日归”: 精益手术更进一步. 中国医院院长, 2021(18): 48-49.
7. 袁华娣, 叶佳. 基于互联网的日间手术患者服务管理 APP 的设计与应用. 护理与康复, 2023, 22(5): 69-70.
8. 赖小琴, 宋应寒, 马洪升, 等. 日间手术医院-社区一体化服务模式改进效果分析. 华西医学, 2017, 32(11): 1689-1692.
9. 董映显, 朱道君, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析. 中国肺癌杂志, 2020, 23(2): 77-83.
10. 中华医学会麻醉学分会. 成人日间手术后镇痛专家共识(2017). 临床麻醉学杂志, 2017, 33(8): 812-815.
11. 国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组, 车国卫. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
12. 李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646, 658.
13. 孙博, 刘雷, 王东光. 国内日间手术发展进程、存在问题与对策建议. 中国卫生质量管理, 2018, 25(5): 17-20.
14. Makary MA, Sexton JB, Freischlag JA, et al. Patient safety in surgery. Ann Surg, 2006, 243(5): 628-635.
15. McHugh M. Pause for thought - surgical time out: before or after painting & draping. A quality improvement project. Dublin: Royal College of Surgeons in Ireland, 2016.
16. 刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.
17. McCloud C, Harrington A, King L. Understanding people’s experience of vitreo-retinal day surgery: a Gadamerian-guided study. J Adv Nurs, 2012, 68(1): 94-103.

West China Medical Journal

Exploration and practice of extended rehabilitation mode for thoracoscopic pulmonary nodule day surgery

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