腹腔镜与开腹胆囊切除术医疗效率和费用的比较分析-《中国微创外科杂志》

文章信息/Info

Title:: Laparoscopic cholecystectomy versus open cholecystectomy: Clinical efficiency and costs analysis

Author(s):: Xie Yuelin; Chen Gui.; Department of Surgery, Shanghai NanxiangHospital, Shanghai201802, China

Keywords:: Laparoscopic cholecystectomy; Open cholecystectomy; Hospital stay; Hospitalization expenditure

摘要:: 目的比较腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)与开腹胆囊切除术(open cholecystectomy,OC)医疗效率指标和费用. 方法回顾分析97例胆囊切除术临床资料,其中腹腔镜组41例,开腹组56例.比较两组住院日、术前住院日、术后住院日、并发症、住院费用等. 结果腹腔镜组和开腹组住院日、术后住院日分别为(11.4±3.0) d和(15.1±4.2) d(t＝-4.811,P=0.000)、(6.1±0.9) d和(10.7±2.4) d(t＝-11.673,P=0.000);腹腔镜组、开腹组住院费用分别为(8 723.8±1 077.2)元、(6 423.4±1 398.4)元(t＝8.791,P=0.000);腹腔镜组、开腹组医疗收入分别为(6 236.4±591.0)元、(3 426.6±683.2)元(t=21.162,P=0.000).两组术前住院日、并发症发生率无明显差异(t=1.684,P=0.095;χ2=0.434,P=0.510). 结论 LC卫生资源利用率较高,但费用也较高.

Abstract:: Objective　To compare the costs and effectiveness between the laparoscopic cholecystectomy (LC) and the open cholecystectomy (OC).　Methods　Clinical data of 97 patients treated either by LC (n=41) or OC (n=56) were retrospectively reviewed.　Results　The hospital stay, postoperative hospital stay, hospitalization expenditure and medical incomes in Group LC and Group OC were (11·4±3·0) days and (15·1±4·2) days (t=-4·811,P=0·000), (6·1±0·9) days and (10·7±2·4) days (t=-11·673,P=0·000), (8 723·8±1 077·2)yuanand (6 423·4±1 398·4)yuan (t=8·791, P=0·000), (6 236·4± 591·0)yuanand (3 426·6±683·2)yuan (t=21·162,P=0·000), respectively. There were no statistical significances between the two groups in preoperative hospital stays and occurrences of complications (t=1·684, P=0·095;χ2=0·434,P=0·510).　 Conclusions　Compared with the OC, health resources were more properly utilized but costs were higher in the LC.