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：

腹腔镜; 开腹; 胆囊切除术; 卫生经济学

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【摘要】目的 比较腹腔镜胆囊切除术（LC）与开腹胆囊切除术（OC）的费用，并进行卫生经济学评价。方法对2009年5-7月行胆囊择期手术的124例患者，随机分为LC组72例、OC组52例。比较两组的手术住院情况、直接和间接医疗成本、总成本。结果 LC组的直接医疗成本、间接医疗成本、总成本分别为（4891±231）元、（338±76）元、（5229±387）元，均低于OC组的（5505±389）元、（540±82）元、（5945±412）元，两组间各项成本比较有统计学意义（P lt;0.001）。结论 LC能缩短手术时间、住院时间，降低医疗费用，加快床位周转，提高卫生资源的利用效率。
【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. 吴文生, 张翼, 郑德全. 腹腔镜胆囊切除1079例临床资料分析[J]. 医学信息手术学分册, 2007, 20(12): 1082-1083.
2. 王家良. 临床流行病学-临床科研设计、衡量与评价[M]. 2版. 上海: 上海科学技术出版社, 2001: 352.
3. 刘勤, 熊韵波, 周少波, 等. 腹腔镜与开腹胆囊切除术的卫生经济学评价[J]. 中国内镜杂志, 2009, 15 (5): 476-478.
4. 兰竹, 周永碧, 韦长征. 腹腔镜胆囊切除术与开腹胆囊切除术的临床特征及住院费用的对比[J]. 临床外科杂志, 1999, 7(5): 260-261.
5. 谢岳林, 陈贵. 腹腔镜与开腹胆囊切除术医疗效率与费用的比较分析[J]. 中国微创外科杂志, 2004, 4(1): 50-51.
6. 林凌, 许焕建, 方兴亮. 两种腹腔镜胆囊切除中转开腹术的对比分析[J]. 中国全科医学, 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. 王刚, 刘荣, 周宁新, 等. 腹腔镜和开腹肝切除的费用效益分析[J]. 肝胆外科杂志, 2005, 14(2): 130-133.
9. 贾秀萍, 董颍. 常规手术与腹腔镜手术住院日及费用比较分析[J]. 中外医疗, 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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