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首页> 外文期刊>Surgical Endoscopy >Comparison of costs for video-assisted thoracic surgery lobectomy and open lobectomy for non-small cell lung cancer.
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Comparison of costs for video-assisted thoracic surgery lobectomy and open lobectomy for non-small cell lung cancer.

机译：比较非小细胞肺癌电视胸腔镜肺叶切除术和开放性肺叶切除术的费用。

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BACKGROUND: To promote the broad use of video-assisted thoracic surgery (VATS) for lobectomy (VATSL) in the management of lung cancer, it should be proved cost-effective, especially in the current cost-sensitive climate. This study evaluated and compared the costs of VATSL and open lobectomy (OL) and analyzed how the surgeon's experience level with VATSL affected the cost. METHODS: In this study, 86 patients in a VATSL group and 97 patients in an OL group underwent surgery for lung cancer. Cost comparisons were performed for the VATSL and OL groups between patients who had no complications and patients with and without complications according to tumor location and the learning period of the surgeon. RESULTS: Postoperative complications occurred for 56 patients (30.6%) (14 VATSL vs 42 OL patients; p < 0.05). Patients who underwent VATSL had significant reductions in both chest tube duration (5.4 vs 9.1 days; p = 0.000) and length of hospital stay (7.1 vs 12.0 days; p = 0.000). The mean operation time for VATSL was not significantly longer than for OL (145.8 vs 136.4 min; p = 0.782). The total hospital cost (i.e., that paid by the patient and national insurance combined) was lower for VATSL than for OL according to comparisons both among all patients (Dollars 5,391 vs Dollars 5,593, respectively) and among only noncomplicated patients (Dollars 4,684 vs Dollars 4,769, respectively). In terms of tumor location, the total hospital cost for the VATSL group was lower than for the OL group when the surgery was performed on the right lower lobe (RLL), left upper lobe (LUL), and left lower lobe (LLL). The costs were not significantly different between the two learning periods of the surgeons, except for the cost of anesthesia. CONCLUSIONS: In Korea, VATSL for lung cancer had lower complication rates, shorter hospital stays, and lower total hospital costs than OL.
机译：背景：为促进在胸膜切除术（VATSL）中使用视频辅助胸外科手术（VATS）在肺癌的治疗中的广泛应用，应证明其具有成本效益，尤其是在当前成本敏感的环境中。这项研究评估并比较了VATSL和开放性肺叶切除术（OL）的成本，并分析了外科医生对VATSL的经验水平如何影响成本。方法：在这项研究中，VATSL组的86例患者和OL组的97例患者接受了肺癌手术。根据肿瘤的位置和外科医生的学习时间，对没有并发症的患者和有无并发症的患者之间的VATSL和OL组进行了成本比较。结果：56例患者发生并发症（30.6％）（14 VATSL vs 42 OL患者; p <0.05）。接受VATSL治疗的患者的胸管持续时间（5.4 vs 9.1天; p = 0.000）和住院时间（7.1 vs 12.0天; p = 0.000）都有显着减少。 VATSL的平均手术时间没有比OL明显长（145.8 vs 136.4分钟; p = 0.782）。根据所有患者之间的比较（分别为5,391美元对5,593美元）和仅非复杂患者（4,684美元对美元）的比较，VATSL的总医院成本（即，由患者支付的费用和国家保险的总和）低于OL 4,769）。就肿瘤位置而言，当手术在右下叶（RLL），左上叶（LUL）和左下叶（LLL）上进行时，VATSL组的总住院费用低于OL组。除了麻醉的费用外，费用在外科医生的两个学习期之间没有显着差异。结论：在韩国，用于肺癌的VATSL的并发症发生率更低，住院时间更短，总住院费用也比OL低。

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