[Contribution of ambulatory digestive surgery]

Area of Science:

• Surgical innovation and healthcare policy

Background:

• Ambulatory surgery is less prevalent in France compared to other nations.
• Governmental policies aim to incentivize its practice.
• Digestive surgery presents challenges like post-operative nausea and vomiting.

Purpose of the Study:

• To explore the current state and future potential of ambulatory surgery in France.
• To highlight the importance of patient selection criteria in ambulatory care.
• To discuss the role of new surgical and anesthetic techniques.

Main Methods:

• Review of French regulations governing ambulatory surgical facilities.
• Analysis of current ambulatory surgical procedures and their expansion.
• Examination of patient selection criteria versus surgical procedure type.

Main Results:

• Ambulatory surgery is governed by specific organizational regulations in France.
• Patient characteristics, not solely the procedure, guide the choice for ambulatory care.
• Laparoscopic cholecystectomy and neck surgeries are increasingly performed ambulatory, paving the way for major surgery expansion.

Conclusions:

• Physicians require comprehensive knowledge of ambulatory surgery as an organizational model.
• Successful ambulatory care relies on established patient selection criteria.
• Advancements in surgical procedures and anesthesia are expanding ambulatory surgery's scope.