PRESENT STATUS AND PROBLEMATIC POINTS OF DAY SURGERY OF BREAST CANCER
PRESENT STATUS AND PROBLEMATIC POINTS OF DAY SURGERY OF BREAST CANCER
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乳腺癌日间手术的现状及问题点
DOI：
10.3919/jjsa.60.2283
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
H. Asakura
中科院分区：
文献类型：
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作者：
K. Higaki;S. Okamura;Tomoya Yoshitaka;Satoru Ohsaki;K. Tanabe;T. Onoda;S. Shiozaki;S. Ohno;M. Ninomiya;Toshiyuki Ikeda;N. Kobayashi;H. Asakura
对88例较早期乳腺癌患者在局麻下行日间手术。本文从安全性、手术效果、经济性、患者满意度等方面对乳腺癌日间手术进行评价，以阐明乳腺癌日间手术的现状及存在的问题。5例患者（5.7%）出现术后并发症，1例患者因术后出血再次手术。在本单位有及时科普能力的前提下，可进行日间手术。严格掌握日间手术指征，术后效果满意。在经济方面，经济效果是巨大的，因为通过减少平均住院时间，可以节省个人承担的医疗费用约为住院费用的1/7。然而，虽然病人的满意度很高，但很少有病人高度评价他们的医疗费用减少。尽管医院的收入减少了，但医生的负担反而增加了。为了促进日间手术，应尽一切努力减少这些不平衡和差异。
Day surgery was performed under local anesthesia on 88 cases of relatively early breast cancer. Evaluation was therefore made on the safety, operative results, economy, and level of patient's satisfaction of day surgery to elucidate the present status and problematic points of day surgery for breast cancer. Postoperative complications were observed in 5 patients (5.7%) and one patient underwent a repeated surgery due to postoperative bleeding. On the premise that the unit has prompt ability to cope with emergency, day surgery can be performed. The postoperative results were satisfactory when indications for day surgery were strictly observed. In terms of economic aspect, the economic effect was found to be great, because by decreasing the average period of hospitalization, the medical expenses borne by the individual patient could be saved to be about 1/7 of those involved in hospitalization. However, though the level of patient's satisfaction was high, few patients highly evaluated that reduction of their medical expenses. Despite the decrease in revenue of the hospital, the burden on physicians has on the contrary increased. For the promotion of day surgery, every effort should be made to lesser these unbalances and discrepancies.