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Outpatient laparoscopic surgery: feasibility and consequences for education and health care costs.

机译：门诊腹腔镜手术：教育和医疗费用的可行性和后果。

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BACKGROUND: The purpose of this paper is to describe the outcome of ambulatory laparoscopic cholecystectomy (LC), antireflux surgery, adrenalectomy and splenectomy and possible implications for surgical education and health care costs. METHODS: Prospective, observational study 1994-2003. RESULTS: The success rate of ambulatory treatment was 83.5% in 1060 LC patients, 80% in 113 antireflux procedures, 100% in 22 laparoscopic adrenalectomies, and 75% in 12 laparoscopic splenectomies. In a total number of 1207 patients, health care costs were reduced by almost 700,000 dollars, compared to 1-day hospital stay. The educational potential of same-day surgery is large, due to high numbers of patients, and 80% of our educational potential has been exploited. CONCLUSION: Ambulatory laparoscopic surgery is cost effective, patient friendly, and appropriate for surgical resident training. Strict organization of security rules is mandatory.
机译：背景：本文的目的是描述门诊腹腔镜胆囊切除术（LC），抗反流手术，肾上腺切除术和脾切除术的结果，以及对手术教育和医疗保健费用的潜在影响。方法：前瞻性观察研究1994- 2003年。结果：1060例LC患者的门诊治疗成功率为83.5％，抗反流手术的成功率为80％，22例腹腔镜肾上腺切除术为100％，12例腹腔镜脾切除术为75％。与1天住院时间相比，在总共1207名患者中，医疗保健费用减少了近700,000美元。由于患者人数众多，当天手术的教育潜力很大，并且我们80％的教育潜力已得到开发。结论：动态腹腔镜手术成本效益高，患者友好，适合住院医师进行手术培训。必须严格组织安全规则。

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