Health Ecomomics Eualuation of Laparoscopic Versus Open Cholecystectomy_West China Medical Journal

Authors：

LAI Rui ¹ , CHEN Liping ²

1. Department of Surgery, Chengdu Corps Hospital, Chinese Armed Police Forces, Chengdu,Sichuan 610041, P.R. China; 2. Department of Surgery, West China Hospital, Sichuan Umiversity, Chengdu, Sichuan 610041, P.R.China;

Corresponding?author：

Keywords：

腹腔鏡; 開腹; 膽囊切除術; 衛生經濟學

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【摘要】目的 比較腹腔鏡膽囊切除術（LC）與開腹膽囊切除術（OC）的費用，并進行衛生經濟學評價。方法對2009年5-7月行膽囊擇期手術的124例患者，隨機分為LC組72例、OC組52例。比較兩組的手術住院情況、直接和間接醫療成本、總成本。結果 LC組的直接醫療成本、間接醫療成本、總成本分別為（4891±231）元、（338±76）元、（5229±387）元，均低于OC組的（5505±389）元、（540±82）元、（5945±412）元，兩組間各項成本比較有統計學意義（P lt;0.001）。結論 LC能縮短手術時間、住院時間，降低醫療費用，加快床位周轉，提高衛生資源的利用效率。
【Abstract】 Objective To compare the cost of the laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) and make the health economic evaluation. Methods From May to July 2009, 124 patients who underwent selective cholecystectomy were divided into LC group (72 cases), and OC group (52 cases). The hospitalizations, direct and indirect medical costs and the total costs were analyzed and evaluated. Results The direct, indirect health care costs and the total costs of the LC group were (4891±231), (338±76),(5229±387) yuan; and were lower than those of the OC group [(5505±389), (540±82), (5945±412) yuan]. The cost comparison between the two groups were significant different (P lt;0.001). Conclusion LC could shorten the operative time, hospitalization time, lower the medical cost, speed up the bed turnover and increase the efficiency in the use of health resource.

Citation： LAI Rui,CHEN Liping. Health Ecomomics Eualuation of Laparoscopic Versus Open Cholecystectomy. West China Medical Journal, 2010, 25(10): 1825-1826. doi: Copy

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1. 吳文生, 張翼, 鄭德全. 腹腔鏡膽囊切除1079例臨床資料分析[J]. 醫學信息手術學分冊, 2007, 20(12): 1082-1083.
2. 王家良. 臨床流行病學-臨床科研設計、衡量與評價[M]. 2版. 上海: 上海科學技術出版社, 2001: 352.
3. 劉勤, 熊韻波, 周少波, 等. 腹腔鏡與開腹膽囊切除術的衛生經濟學評價[J]. 中國內鏡雜志, 2009, 15 (5): 476-478.
4. 蘭竹, 周永碧, 韋長征. 腹腔鏡膽囊切除術與開腹膽囊切除術的臨床特征及住院費用的對比[J]. 臨床外科雜志, 1999, 7(5): 260-261.
5. 謝岳林, 陳貴. 腹腔鏡與開腹膽囊切除術醫療效率與費用的比較分析[J]. 中國微創外科雜志, 2004, 4(1): 50-51.
6. 林凌, 許煥建, 方興亮. 兩種腹腔鏡膽囊切除中轉開腹術的對比分析[J]. 中國全科醫學, 2010, 13(1): 1961.
7. Giger U, Michel JM, Vonlanthen R, et al. Laparoscopic cholecystectomy in actue cholecystitis: indication, technique, risk and outcome[J]. Surgery, 2008, 144(2): 283-289.
8. 王剛, 劉榮, 周寧新, 等. 腹腔鏡和開腹肝切除的費用效益分析[J]. 肝膽外科雜志, 2005, 14(2): 130-133.
9. 賈秀萍, 董潁. 常規手術與腹腔鏡手術住院日及費用比較分析[J]. 中外醫療, 2010, 17(16): 64-65.
10. Zacks SL, Sandler RS, Rut ledge R, et al. A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy[J]. Am J Gastroenterol, 2002, 97(2): 334-340.

West China Medical Journal

Health Ecomomics Eualuation of Laparoscopic Versus Open Cholecystectomy

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