中国乳腺外科日间手术规范化管理专家共识

标题: 中国乳腺外科日间手术规范化管理专家共识
title: Chinese expert consensus on the ambulatory surgery of breast surgery
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 诊疗
field: Diagnosis and Treatment
国家和地区: 中国
Country and region: China
指南使用者: 中国乳腺疾病领域专家及相关医疗工作者
Guide users: Chinese breast diseases specialists and related medical workers
证据分级方法: None
Evidence grading method:
制定单位: 中华医学会外科学分会乳腺外科学组
Formulating unit: Chinese Society of Breast Surgery,Chinese Society of Surgery,Chinese Medical Association
注册时间: 2021-06-07
Registration time:
注册编号: IPGRP-2021CN149
Registration number:
指南制订的目的: 目前,外科手术仍然是乳腺疾病主要的治疗手段。最新的流行病学调查发现,乳腺癌位居我国女性恶性肿瘤发病率第1位。加之乳腺良性肿瘤以及需要手术治疗的非肿瘤性疾病,手术需求日益增加。随着国家医疗改革的推进,乳腺外科日间手术的发展已经逐步进入到政府推动阶段。进入21世纪以来,随着综合诊治水平的不断提高,乳腺癌总体预后明显改善,追求最大获益和最小伤害的理念在临床获得广泛认同[3]。近年来以“最小手术创伤获得等效或优效结果”的外科理念已经达成共识,伴随麻醉与复苏技术的进步,除乳腺良性肿瘤切除手术外,乳腺癌保乳手术、前哨淋巴结活检术、乳腺癌保乳整形术也在逐渐尝试日间手术模式。为了促进我国乳腺外科日间手术的快速发展并规范其临床实践,中华医学会外科学分会乳腺外科学组组织国内相关领域的专家对国内外日间手术的发展经验进行总结,并结合我国医疗国情,制定本专家共识,旨在为乳腺外科日间手术的规范化开展提供参考。本文对≥80%成员达成共识的内容提出推荐意见
Purpose of the guideline: At present, surgery is still the main treatment for breast diseases.The latest epidemiological investigation found that breast cancer ranks the first incidence of female malignant tumor in China.In addition to benign breast tumors and non-neoplastic diseases requiring surgical treatment, the need for surgery is increasing.With the advancement of national medical reform, the development of day surgery in breast surgery has gradually entered the stage of government promotion.Since the beginning of the 21st century, with the continuous improvement of the level of comprehensive diagnosis and treatment, the overall prognosis of breast cancer has been significantly improved, and the concept of maximizing benefit and minimizing harm has been widely recognized in clinical practice [3].In recent years, a consensus has been reached on the surgical concept of "obtaining equivalent or superior results with minimal surgical trauma". With the progress of anesthesia and resuscitation technology, in addition to breast benign tumor resection, the daytime operation mode of breast cancer conserving surgery, sentinel lymph node biopsy and breast cancer conserving plastic surgery is also being gradually tried.In order to promote the rapid development of mammary gland surgical ambulatory surgery and regulate the clinical practice, the Chinese medical association surgery branch of the mammary gland surgery group organized experts in the field of domestic related to ambulatory surgery summarized the development experience of home and abroad, and combined with Chinese medical conditions, formulated the expert consensus, aims to provide a reference for the standardization of the mammary gland surgical day to carry out.This paper proposes recommendations for content that ≥80% members have reached consensus on