〗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.