结直肠癌腹腔镜手术和开腹手术的住院费用比较
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王德臣

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Comparison of hospital charges between laparoscopic and open resection for colorectal carcinoma
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    摘要:

    目的:从经济角度探讨腹腔镜结直肠癌切除术的可行性。
    方法:笔者于3年半间共施行根治性结直肠癌切除术454例,其中开腹手术191例,腹腔镜手术263例。对两组患者的住院总费用以及各主要分项费用进行对比分析。
    结果:开腹手术组平均住院总费用约3.1万元,腹腔镜手术组约3.3万元,两组相差约2 000元,但无统计学意义(P>0.05)。两组患者的西药费、放射费、化验费、检查费以及手术费相当,差异无统计学意义(P>0.05)。开腹组中位治疗费9 000元,而腹腔镜组中位治疗费1.1万元,两组差别有统计学意义(P<0.05)。
    结论:腹腔镜结直肠癌切除术的住院总费用仅略高于开腹手术,而前者具有微创优势,故对结直肠癌患者开展腹腔镜手术是可取的。

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    〗Abstract:Objective:To evaluate the feasibility of laparoscopic resection for colorectal carcinoma in terms of economics.
    Methods :Four hundred and fifty-four patients underwent radical resection for colorectal carcinoma in our hospital during recent three and a half years. Among them, 191 underwent open resection and 263 received laparoscopic resection. The total hospital charges and main subitems between the two groups were comparatively analyzed.
    Results:The mean total hospital charges in the open group was thirty-one thousand yuan vs. thirty-three thousands yuan in the laparoscopic group. The difference was two thousands yuan, but there was no statistical significance (P>0.05). Medicine fees, radiology fees, laboratory fees, test fees and operation fees were similar in both groups, and no significant difference could be seen(P>0.05). The median therapy fees in the open group was nine thousand yuan vs. eleven thousand yuan in the laparoscopic group, and the difference was significant (P<0.05).
    Conclusions:Since the total hospital charges of laparoscopic surgery for colorectal cancer were just a little more than that of open procedure, and the former had the advantages of minimal invasion. It is worthy to perform laparoscopic surgery for patients with colorectal carcinoma.

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王德臣, 袁炯, 付卫, 王港, 李磊.结直肠癌腹腔镜手术和开腹手术的住院费用比较[J].中国普通外科杂志,2008,17(10):4-960.
DOI:10.7659/j. issn.1005-6947.2008.10.004

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  • 在线发布日期: 2008-10-25