中国普通外科杂志2026，Vol.35Issue(6)：1092-1110,19.DOI:10.7659/j.issn.1005-6947.260263
老年患者日间手术管理专家共识(2026版)
Expert consensus on day surgery management for elderly patients(2026 edition)
摘要
Abstract
With the rapid aging of the Chinese population,the number of elderly patients undergoing day surgery has continued to increase.Elderly patients are frequently characterized by multimorbidity,polypharmacy,and diminished physiological reserve,placing them at substantially higher perioperative risk than the general adult population.However,there remains a lack of dedicated recommendations for the perioperative management of day surgery in elderly patients,both in China and internationally.To standardize perioperative management for this population,the National Clinical Research Center for Geriatric Disorders(Xiangya Hospital of Central South University),in collaboration with the International Joint Research Center of Minimally Invasive Endoscopic Technology,Equipment and Standards,convened a multidisciplinary panel of experts to develop the Expert consensus on day surgery management for elderly patients(2026 edition)based on a systematic review of the available evidence and extensive clinical experience.This consensus addresses the entire perioperative pathway of day surgery in elderly patients and presents 16 recommendations covering key aspects,including preoperative eligibility assessment,preoperative optimization,intraoperative anesthesia management,perioperative temperature management,enhanced postoperative recovery,discharge management,and post-discharge follow-up.The consensus aims to provide scientific,standardized,and practical guidance for clinical practice across healthcare institutions,improve the safety and quality of day surgery for elderly patients,and promote the standardized implementation of day surgery in the elderly population.关键词
老年人/日间手术/术后加速康复/专家共识Key words
Aged/Day Surgery/Enhanced Recovery After Surgery/Expert Consensus分类
医药卫生引用本文复制引用
老年疾病国家临床医学研究中心(中南大学湘雅医院),国家内镜微创技术装备与标准国际联合研究中心,刘蔚东..老年患者日间手术管理专家共识(2026版)[J].中国普通外科杂志,2026,35(6):1092-1110,19.基金项目
湖南省自然科学基金资助项目(2024JJ5591). （2024JJ5591）
