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中华结直肠疾病电子杂志 ›› 2026, Vol. 15 ›› Issue (05) : 385 -394. doi: 10.3877/cma.j.issn.2095-3224.2026.05.001

指南与共识

结直肠癌日间手术专家共识(2026版)
中国抗癌协会大肠癌专业委员会, 中国抗癌协会大肠癌专业委员会NOSES技术推广专家委员会, 海峡两岸医药卫生交流协会肿瘤学分会日间手术学组   
  1. 1. 国家肿瘤区域医疗中心-中国医学科学院肿瘤医院辽宁医院 中国医科大学第一附属医院胃肠肿瘤外科,沈阳 110001
    2. 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科,北京 100021
    3. 四川大学华西医院结直肠肿瘤中心,成都 610041
    4. 北京大学肿瘤医院胃肠肿瘤中心三病区,北京 100142
    5. 温州医科大学附属第一医院结直肠肛门外科,温州 325015
  • 收稿日期:2026-09-06 出版日期:2026-10-25
  • 基金资助:
    国家重点研发计划“诊疗装备与生物医用材料”重点专项(2023YFC2413702)

Expert consensus on ambulatory surgery for colorectal cancer (2026 Edition)

Colorectal Cancer Committee of the Chinese Anti-Cancer Association, Expert Committee for the Promotion of NOSES (Natural Orifice Specimen Extraction Surgery) Technology, Colorectal Cancer Committee of the Chinese Anti-Cancer Association, Ambulatory Surgery Group, Oncology Branch, Cross-Strait Medical and Health Exchange Association   

  1. 1. Department of Gastrointestinal Surgery, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China
    2. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
    3. Colorectal Cancer Center, Department of General Surgery West China Hospital, Sichuan University, Chengdu 610041, China
    4. Gastrointestinal Cancer Center, Unit III, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing 100142, China
    5. Department of Colorectal and Anal Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
  • Received:2026-09-06 Published:2026-10-25
引用本文:

中国抗癌协会大肠癌专业委员会, 中国抗癌协会大肠癌专业委员会NOSES技术推广专家委员会, 海峡两岸医药卫生交流协会肿瘤学分会日间手术学组. 结直肠癌日间手术专家共识(2026版)[J/OL]. 中华结直肠疾病电子杂志, 2026, 15(05): 385-394.

Colorectal Cancer Committee of the Chinese Anti-Cancer Association, Expert Committee for the Promotion of NOSES (Natural Orifice Specimen Extraction Surgery) Technology, Colorectal Cancer Committee of the Chinese Anti-Cancer Association, Ambulatory Surgery Group, Oncology Branch, Cross-Strait Medical and Health Exchange Association. Expert consensus on ambulatory surgery for colorectal cancer (2026 Edition)[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2026, 15(05): 385-394.

为推动我国结直肠癌日间手术规范化、安全化开展,中国抗癌协会大肠癌专业委员会等组织专家,结合国内外文献与临床实践制订本共识。共识采用国际指南制订规范和GRADE证据分级方法,经专家讨论形成推荐意见,涵盖日间手术定义、团队与病房建设、患者选择、围术期管理、出院标准及院外随访等内容。共识强调,结直肠癌日间手术应在严格筛选、规范操作和多学科协作下开展,以保障医疗质量与患者安全,并为相关医疗机构提供参考。

To promote the standardized and safe implementation of day surgery for colorectal cancer in China, the Colorectal Cancer Committee of the Chinese Anti-Cancer Association and other organizations convened experts to develop this consensus by integrating domestic and international literature and clinical practice. The consensus was developed in accordance with international standards for guideline development and the GRADE evidence grading methodology, and recommendations were formulated through expert discussion, covering the definition of day surgery, team and ward development, patient selection, perioperative management, discharge criteria, and post-discharge follow-up. The consensus emphasizes that day surgery for colorectal cancer should be carried out under strict patient selection, standardized procedures, and multidisciplinary collaboration, so as to ensure the quality of care and patient safety and to provide a reference for relevant healthcare institutions.

表1 证据质量GRADE分级系统
表2 共识推荐强度及专家投票通过情况
图1 日间手术收治流程图
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