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首页> 外文期刊>Surgical Endoscopy >Laparoscopic or open fundoplication? A complete cost analysis.
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Laparoscopic or open fundoplication? A complete cost analysis.

机译：腹腔镜或开放性胃底折叠术？完整的成本分析。

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BACKGROUND: As part of a prospective observational trial, we set out to determine the direct and indirect costs of an open versus a laparoscopic fundoplication for chronic gastroesophageal reflux disease (GERD). METHODS: Two groups of patients, each comprising 28 subjects, were studied. RESULTS: All patients received a functioning fundoplication that did not require any additional therapy. Because 19 and 12 patients in the open and laparoscopy groups, respectively, were employed in the work force, we were able to assess the costs due to loss of production. The mean operating time was similar for both groups, but postoperative stay differed significantly; though it amounted to 8 days for the open group, it was only 2 days for the laparoscopy group. Postoperative sick leave was 29.9 days in the open and 9.9 in the laparoscopy group (p < 0.05). The costs of the operations were 18,363 SEK for laparoscopy and 12,856 SEK for conventional fundoplication. On the other hand, the cost for hospital stay amounted to 35,488 SEK in the open group but was only 25,571 SEK for those undergoing laparoscopy. When we add outpatient visits, endoscopies, and other medical expenses, the total direct costs in the laparoscopy group come to 27,693 SEK, as compared to 37,482 SEK for the open fundoplication. The indirect medical costs, which were dominated by loss of production (36,732 versus 12,126 SEK), came to 37,126 and 12,595 SEK in the open and laparoscopy groups, respectively. CONCLUSIONS: The total community-based costs for the open and laparoscopic operations for chronic GERD amounted to 74,608 and 40,289 SEK, respectively. Thus, we would recommend the laparoscopic procedure in most cases.
机译：背景：作为一项前瞻性观察性试验的一部分，我们着手确定开放式和腹腔镜胃底折叠术对慢性胃食管反流病（GERD）的直接和间接费用。方法：研究了两组患者，每组包括28名受试者。结果：所有患者均接受了功能性胃底折叠术，无需任何其他治疗。由于开放式和腹腔镜检查组分别有19名和12名患者被雇用，因此我们能够评估由于生产损失而产生的费用。两组的平均手术时间相似，但术后停留时间差异显着。尽管开放组为8天，但腹腔镜组仅为2天。术后病假开放时间为29.9天，腹腔镜检查组为9.9天（p <0.05）。腹腔镜检查的手术费用为18,363瑞典克朗，常规胃底折叠术的手术费用为12,856 SEK。另一方面，开放组的住院费用为35,488瑞典克朗，但进行腹腔镜检查的患者仅为25,571瑞典克朗。当我们加上门诊就诊，内窥镜检查和其他医疗费用时，腹腔镜检查组的总直接费用为27,693瑞典克朗，而开放式胃底折叠术的总直接费用为37,482瑞典克朗。开放性和腹腔镜检查组的间接医疗费用分别为生产损失（36,732对12,126瑞典克朗），分别为37,126和12,595瑞典克朗。结论：以社区为基础的慢性GERD开放和腹腔镜手术总费用分别为74,608和40,289 SEK。因此，我们建议在大多数情况下进行腹腔镜手术。

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