| アブストラクト | PURPOSES: This retrospective analysis compared the cost outcomes for both patients and hospitals, as well as the short-term outcomes, for laparoscopic hepatectomy (LH) and open hepatectomy (OH). METHODS: The subjects comprised 70 patients who underwent LH or OH. The total hospital charge was calculated using the Japanese lump-sum payment system according to the diagnosis procedure combination. RESULTS: Of the 70 patients, 10 in the LH group and 16 in the OH group underwent primary single limited/anatomic resection or left lateral sectoriectomy. The operation time, blood loss, and postoperative complications did not differ significantly between the two groups. The median [range] time of inflow occlusion was significantly longer [120 (50-194) vs. 57 (17-151) min, P = 0.03] and the postoperative hospital stay was significantly shorter [5 (4-6) vs. 9 (5-12) days, P < 0.01] in the LH group than in the OH group, respectively. The mean +/- standard deviation surgical costs (1307 +/- 596 vs. 1054 +/- 365 US$, P = 0.43) and total hospital charges (12046 +/- 1174 vs. 11858 +/- 2096 US$, P > 0.99) were similar in the LH and OH groups, respectively, although the charges per day were significantly higher in the LH group than in the OH group (1388 +/- 217 vs. 1016 +/- 134 US$, P < 0.01). CONCLUSIONS: The costs to patients for LH are similar to those for OH. However, LH provides a financial advantage to hospitals due to a reduced hospital stay and comparable surgical costs. |
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| ジャーナル名 | Surgery today |
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| 投稿日 | 2015/05/30 |
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| 投稿者 | Kawaguchi, Yoshikuni; Otsuka, Yuichiro; Kaneko, Hironori; Nagai, Motoki; Nomura, Yukihiro; Yamamoto, Mariko; Otani, Masahide; Ohashi, Yuichi; Sugawara, Kotaro; Koike, Daisuke; Ishida, Takashi; Kokudo, Norihiro; Tanaka, Nobutaka |
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| 組織名 | Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate;School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, 113-8655,;Japan. yokawaguchi-tky@umin.ac.jp.;Department of Surgery, Asahi General Hospital, Chiba, Japan.;yokawaguchi-tky@umin.ac.jp.;Division of General and Gastroenterological Surgery, Department of Surgery, Toho;University Faculty of Medicine, Tokyo, Japan.;Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/26021453/ |
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