Abstract
背景与目的日间手术的种类和数量在不断扩大，部分经过选择的肺癌患者进行日间手术，临床效果如何？基于加速康复外科（enhanced recovery after surgery, ERAS）理念和外科微创技术，探索肺癌患者日间手术的操作流程及其临床应用效果。方法选取2019年6月-2019年11月四川大学华西胸外科单个医疗组连续收治行肺手术患者150例，最终纳入研究患者48例，其中住院手术（inpatient surgery group, ISG）患者28例和日间手术患者（day surgery group, DSG）20例。分析两组患者平均住院日、住院费用及并发症等。结果平均住院日在日间手术组（1 d）显著低于住院手术组（7.7±2.8）d（P=0.000）; 平均住院费用在日间手术组（38, 297.3±3408.7）￥显著低于住院手术组（47, 831.1±7376.1）￥（P=0.000）。术后总体并发症发生率在日间手术组（5.0%）与住院手术组（3.6%）无统计学差异（P=0.812）。术后总体不良反应发生率日间手术组（10.0%）与住院手术组（17.9%）无统计学差异（P=0.729）。结论经过选择的肺癌患者行日间手术是可行的且能够加速康复。
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