CURRENT STATUS AND PROBLEMS OF DAY SURGERY IN REGARD TO THE INDICATION OF GASTROINTESTINAL SURGERY

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 66; no. 9; pp. 2083 - 2088
• Main Authors: ARASE, Tsutomu, OMURA, Takashi, MACHIDA, Akio
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2005
• Subjects: diag-nosis procedure combination
• ISSN: 1345-2843; 1882-5133; 1882-5133
• DOI: 10.3919/jjsa.66.2083

We analyzed current status and problems of day surgery, comparing with non day surgery group for clinical path of gastrointestinal indications in our hospital. Two hundred and fifty eight patients who underwent surgery in our day surgery center between November, 1998, and June, 2003, and three hundred and sixty eight patients who underwent surgery being applied to clinical path during the same period, were the subject of this study. In day surgery group, the indications were rectal or anal diseases in 69 cases, inguinal or femoral hernia in 109, gall bladder stones or polyps in 77, and others in 3. In non day surgery group, the indications were rectal or anal diseases in 141 cases, inguinal or femoral hernia in 133, gall bladder stones or polyps in 96. The mean length of hospital stay was 1.67 days in day surgery group and 6.81 days in non day surgery group. The mean number of visit to out-patient clinic was 2.29 times in day surgery group and 1.69 times in non day surgery group. The complications were observed in 48cases (18.6%) in day surgery group, and in 29 cases (7.9%) in non day surgery group. Seventeen cases (6.6%) dropped away from day surgery (extended hospital stay). Twenty three cases (6.3%) dropped away from non day surgery (extended hospital stay). Complications related to spinal anesthesia were the main cause of extended hospital stay in day surgery.