Jin Y, Yang F, Xu JZ, Zhang X. Clinical value of daytime colonoscopic polypectomy.
Shijie Huaren Xiaohua Zazhi 2021;
29:1174-1178. [DOI:
10.11569/wcjd.v29.i20.1174]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND
In recent years, with the continuous development of endoscopic technology, colonoscopic polyposectomy has become the preferred method for the treatment of colorectal polyps. Its advantages of being minimally invasive, fast, safe, and cost-effective have been widely recognized in clinical practice. How to provide high quality medical services while effectively reducing medical costs, shorten the length of stay, and save medical resources is an urgent problem to be solved in the medical field.
AIM
To analyze the feasibility of the daytime surgery mode of painless colonoscopy polypectomy and to study its clinical value.
METHODS
A total of 2251 patients who underwent painless colonoscopy polypectomy at our hospital from March 2019 to May 2021 were selected. According to the patients' willing, 879 patients were divided into a daytime surgery group (observation group) and 1372 patients were divided into a routine inpatient non-daytime surgery group (control group). The clinical efficacy and prognosis of the two groups were compared and analyzed.
RESULTS
All patients in the two groups successfully completed colonoscopic polypectomy, and there were no readmission or death cases. There were no significant differences between the two groups in age, gender, number of polyps, operation time, postoperative complications, or number of readmissions within 30 d (P > 0.05). The average length of hospital stay in the observation group was (20.5 ± 3.2) h, and the total treatment cost (including outpatient examination cost) was (2968.8 ± 677.2) yuan, both of which were significantly lower than those of the general hospitalized surgery patients in the same period. The satisfaction of the observation group was significantly higher than that of the control group (t = 9.45, P < 0.05). No abdominal infection, anesthesia accident, gastrointestinal bleeding, perforation, or other serious complications occurred in the two groups, and the pathological results after surgery showed that all patients had a benign disease. Both groups were followed for 30 d, and no one was readmitted due to postoperative complications.
CONCLUSION
Compared with common inpatient surgery, daytime colonoscopic polypectomy can significantly shorten the length of hospital stay and reduce the cost of hospitalization. On the premise of reasonable optimization of treatment path, choosing suitable patients with appropriate indications for daytime surgery is not only safe and feasible, but also has the advantages of reducing medical costs and effectively utilizing medical resources.
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