[门诊胆囊切除术是下一步吗:讨论和选择患者的可能标准]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-09-05 DOI:10.1007/s00104-024-02167-x
Ines Photiadis, Daniel Eckhardt, Elena Loch, Felix J Hüttner, Markus K Diener, Patrick Heger
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引用次数: 0

摘要

背景:多年来,一些国家的腹腔镜胆囊切除术大多在门诊进行,但在德国,一般仍在住院治疗的基础上进行;然而,随着德国医疗系统逐步增加门诊治疗,腹腔镜胆囊切除术在未来几年将(必须)越来越多地在门诊进行:介绍德国目前腹腔镜胆囊切除术的框架条件和在门诊实施的潜力。介绍并讨论有关患者选择、治疗路径和门诊腹腔镜胆囊切除术安全性的知识现状:德国门诊腹腔镜胆囊切除术的潜力很大。结果:在德国,门诊管理腹腔镜胆囊切除术的潜力很大。根据目前的文献,对选定的患者进行门诊腹腔镜胆囊切除术不存在安全问题:结论:未来几年,腹腔镜胆囊切除术的门诊管理将不可避免地向我们走来。成功变革的关键在于全面的患者信息、患者选择和结构化的门诊治疗路径。
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[Outpatient cholecystectomy as the next step? : Discussion and possible criteria in the selection of patients].

Background: While laparoscopic cholecystectomy has largely been performed in an outpatient setting in some countries for years, in Germany it is still generally performed on an inpatient basis; however, with the progressive ambitions for more outpatient treatment within the German healthcare system, laparoscopic cholecystectomy will (have to) increasingly be performed on an outpatient basis in the upcoming years.

Aim of the work: Presentation of the current framework conditions and the potential for outpatient performance of laparoscopic cholecystectomy in Germany. Presentation and discussion on the current state of knowledge regarding patient selection, treatment pathways and safety of outpatient laparoscopic cholecystectomy.

Results: The potential for outpatient management of laparoscopic cholecystectomy in Germany is high. Based on the current literature, there are no safety concerns regarding outpatient performance of laparoscopic cholecystectomy in selected patients.

Conclusion: Outpatient management of laparoscopic cholecystectomy is inevitably heading our way in the next years. The key to successful change will be comprehensive patient information, patient selection and structured outpatient treatment pathways.

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