作者：高畅远，周海涛

单位：中国医学科学院肿瘤医院 结直肠外科，北京 100021

Authors: Gao Changyuan, Zhou Haitao

Unit：Department of Colorectal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China

摘要：

日间手术作为一种新型的手术模式，在很多领域都得到了广泛应用，但在结直肠外科领域中应用还较为有限。微创外科手术的推广应用和围手术期管理的发展，使结直肠外科术后同日出院逐渐成为可能。慎重选择合适的患者、采用先进医疗技术、注重术后管理和康复指导给日间手术的实现提供了支持和保障。本文回顾了结直肠日间手术的研究历史，分析了日间手术在结直肠外科中的应用现状，并对日间手术在结直肠外科中应用的安全性和可行性进行了总结。 

关键词： 日间手术；结直肠外科；加速康复外科；微创手术

Abstract：

Ambulatory surgery, as a new type of surgical model, has been widely applied in many fields, but its application in colorectal surgery is still relatively limited. The promotion and application of minimally invasive surgery and the development of perioperative management have made it possible for patients to be discharged on the same day after colorectal surgery. Careful selection of suitable patients, the use of advanced medical technology, emphasis on postoperative management and rehabilitation guidance provide support and assurance for the realization of ambulatory surgery. This article reviews the research history of colorectal ambulatory surgery, analyzes the current status of the application of ambulatory surgery in colorectal surgery, and summarizes the safety and feasibility of ambulatory surgery in colorectal surgery.

Key Words:  Ambulatory surgery;  Colorectal surgery;  Enhanced recovery after surgery;  Minimally invasive surgery