关键词: 日间手术, 肠息肉, 证据总结

Abstract: Objective: To evaluate and summarize the best evidence for day surgery management of endoscopic resection of intestinal polyps. Methods: All evidence on day surgery management of endoscopic resection of intestinal polyps including clinical practice guidelines, expert consensus, recommended practice, clinical decision making, systematic evaluation, evidence summary was obtained from UpToDate, WHO Guidelines, NICE Guidelines, the National Guidelines Clearinghouse(NGC), the Scottish Intercollegiate Guidelines Network (SIGN), the Joanna Briggs Institute (JBI) Library, the Cochrane Library, PubMed, Medlive, CNKI, WanFang Med Online, China Day Surgery Association, and China Ambulatory Surgery Alliance. Two researchers evaluated the quality of the extracted evidence. Results: A total of 11 articles were included, including 4 clinical practice guidelines, 4 expert consensus, and 3 evidence summaries. The summarized best evidence includes 32 pieces of evidence across 6 stages of day surgery management for endoscopic resection of intestinal polyps. These stages cover pre -admission screening, assessment, and education; bowel preparation on the day before admission; preoperative assessment and patient care after admission; anesthesia management and specimen handling during the procedure; postoperative complications and rehabilitation management; and follow-up care after discharge.Conclusion: The evidence summary on day surgery management of endoscopic resection of intestinal polyps can provide evidence-based guidance for medical staff in day surgery units. It is recommended that when translating evidence into practice, clinical conclusions, clinical experience, and individual patient circumstances be combined to develop personalized management plans.

Key words: Day surgery, Intestinal polyps, Summary of evidence