To investigate the feasibility, safety and effectiveness of day surgery for patients with nonfunctional adrenal benign tumors.

Twenty-five patients with nonfunctional adrenal benign tumors who underwent laparoscopic adrenalectomy in the Day Surgery Center of Ruijin Hospital as experimental group, 32 patients received the same procedure in the Urology Department of Ruijin Hospital were selected as the control group. In the experimental group, the preoperative examination, health education, anesthesia evaluation and other medical services of patients were completed in the outpatient department. Then the patients received laparoscopic adrenalectomy in the operating room and routine postoperative care. At 8:00 A.M on the second day after the operation, the patients were discharged if they meeting the discharge criteria. The control group adopted the management method of hospitalized operation, of which the preoperative examination, health education, anesthesia evaluation and other medical work were completed after admission to hospital. Laparoscopic adrenalectomy was performed in the operating room and conventional care was performed after operation. The patients were discharged after assessment according to the recovery of the patients.

The surgery waiting time, hospitalization time and hospitalization costs of the experimental group were less than those of the control group (P<0.05). The satisfaction of the patients in the experimental group (100%) was higher than that in the control group (93%). No postoperative complications occurred in both groups.

It is feasible, safe and effective to carry out day surgery for patients with nonfunctional adrenal benign tumors, which can greatly improve the utilization rate of medical resources. It is a very efficient surgical medical mode.