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首页> 外文期刊>Surgical Endoscopy >Evaluation of the cost for laparoscopic-assisted Billroth I gastrectomy.
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Evaluation of the cost for laparoscopic-assisted Billroth I gastrectomy.

机译：腹腔镜辅助Billroth I胃切除术的费用评估。

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BACKGROUND: Despite the rapid spread of laparoscopic gastric surgery in Japan, no one has yet evaluated the costs for this new technique. The aim of this study was to analyze and compare the hospital charges for laparoscopic-assisted gastrectomy with those for conventional open gastrectomy. METHODS: The study included 48 consecutive patients who underwent laparoscopic-assisted Billroth I gastrectomy and 43 who had a conventional open Billroth I gastrectomy for cure of early gastric cancer between May 1994 and April 2000. Hospital charges covered all costs incurred during the hospital stay; they were divided into charges for consultation, prescription, injection, nursing care, operating theater, laboratory, radiology, ward and meal, and others. RESULTS: The patients who underwent laparoscopic gastrectomy were similar to those who had open gastrectomy in terms of symptoms, concurrent illness, operation time, proximal resection margin, number of harvested lymph nodes, and stage of the disease. Hospital stay after laparoscopic gastrectomy was shorter than that after open gastrectomy (16.1 vs 20.5 days, p < 0.01). Charges for nursing care, charges for ward and meal, and total hospital charges were less in the laparoscopic group than in the open group ( yen5800 vs yen8010, p < 0.01; yen461 x 10(3) vs yen512 x 10(3), p < 0.05; yen1336 x 10(3) vs yen1411 x 10(3), p = 0.072). When we compared laparoscopic gastrectomies performed during 1994-96 with those done during 1997-2000, we found a decrease in charges for ward and meal and total hospital charges ( yen498 x 10(3) vs yen421 x 10(3), p < 0.01; yen1390 x 10(3) vs yen1277 x 103, p < 0.01). Conclusion: Laparoscopic-assisted Billroth I gastrectomy is less expensive than conventional open Billroth I gastrectomy because both the postoperative recovery period and the hospital stay are shorter. In patients who undergo gastrectomy, the additional costs of the disposable instruments can be fully offset by the lower charges for ward and meal and nursing care associated with laparoscopic gastrectomy.
机译：背景：尽管腹腔镜胃外科手术在日本迅速普及，但尚无人评估这项新技术的成本。这项研究的目的是分析和比较腹腔镜辅助胃切除术与常规开放性胃切除术的住院费用。方法：该研究包括1994年5月至2000年4月间连续48例接受腹腔镜辅助Billroth I胃切除术的患者和43例常规Billroth I胃切除术治疗早期胃癌的患者。他们分为咨询，处方，注射，护理，手术室，实验室，放射科，病房和伙食等费用。结果：进行腹腔镜胃切除术的患者在症状，并发疾病，手术时间，近端切除切缘，收获的淋巴结数目和疾病阶段方面与开腹胃切除术相似。腹腔镜胃切除术后的住院时间比开放胃切除术后的住院时间短（16.1 vs 20.5天，p <0.01）。腹腔镜组的护理费，病房和饭菜的费用以及总的医院费用比开放组少（5800日元vs 8010日元，p <0.01; 461 x 10（3）vs 512 x 10（3），p <0.05;日元1336 x 10（3）与日元1411 x 10（3），p = 0.072）。当我们将1994-96年间的腹腔镜胃直肠切除术与1997-2000年间的腹腔镜胃切除术进行比较时，我们发现病房和餐饮费用以及总医院费用有所减少（498日元x 10（3）比421日元x 10（3），p <0.01 ;日元1390 x 10（3）与日元1277 x 103，p <0.01）。结论：腹腔镜辅助Billroth I胃切除术比传统的开放Billroth I胃切除术便宜，因为术后恢复期和住院时间都较短。在接受胃切除术的患者中，一次性器械的额外费用可通过降低与腹腔镜胃切除术相关的病房和餐饮费用以及护理费用而完全抵消。

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