Unilateral Biportal Endoscopic Spine Surgery in the Ambulatory Surgical Center with an Enhanced Recovery After Surgery Pathway
摘要
Ambulatory surgical centers (ASCs) are specialized healthcare facilities that provide surgical procedures that do not require an inpatient hospitalization, serving as an alternative to hospital-based surgery. They offer an alternative surgical care setting aimed at increasing the efficiency of medical resources to reduce healthcare costs with similar clinical outcomes and complication rates as hospital-based surgeries. Moreover, there are several advantages including a lower rate of cancellations, reductions in waiting times with increased accessibility, and the decreased risk of nosocomial infections [1]. Existing studies related to spinal surgery in ASCs have focused on ACDF, decompressive laminectomy/laminotomy with or without lumbar discectomy, full-endoscopic transforaminal lumbar discectomy, and lumbar fusion surgeries [2–5]. The studies have shown that these surgeries can be performed safely, effectively, and with less cost as compared to the hospital setting [6–8]. The advancement of minimally invasive surgical techniques has allowed patients to undergo spine surgery at ASCs through the minimal surgical footprint that limits tissue damage and blood loss, thereby reducing postoperative pain and time for recovery [9].