Lill H, Sitter H, Klotter H J, Nies C, Güntert-Gömann K, Rothmund M
Klinik für Allgemeinchirurgie, Philipps-Universität Marburg.
Chirurg. 1992 Dec;63(12):1041-4.
After laparoscopic cholecystectomy (LC) has replaced open cholecystectomy (OC) to a large extent as standard method in the operative treatment of cholecystolithiasis the question of costs and economics raises. To evaluate this question the data of 50 patients who underwent elective LC were analysed in a retrospective study and compared with the data of 50 patients who were cholecystectomized using the open technique. The median of in-hospital stay was 6 (3-15) days for LC and 10 (3-33) days for OC. The median of time of working-disability was 14 (2-35) days for LC and 21 (2-56) days for OC. Total cost (median) of 3788 (2637-8101) DM for LC compared to 4509 (2041-15218) DM for OC. The median of hospital income was 2790 (1395-6975) DM for the LC-group and 4650 (1395-15346) DM for the OC-group. Due to the shorter in-hospital stay of LC-patients this method causes a microeconomical loss for the hospital compared to OC. Macroeconomically LC represents a benefit because of shorter working-disability.
在腹腔镜胆囊切除术（LC）已在很大程度上取代开腹胆囊切除术（OC）成为胆囊结石手术治疗的标准方法之后，成本和经济学问题随之而来。为评估这个问题，在一项回顾性研究中分析了50例行择期LC患者的数据，并与50例采用开放技术行胆囊切除术患者的数据进行比较。LC组患者的住院时间中位数为6（3 - 15）天，OC组为10（3 - 33）天。LC组患者的病休时间中位数为14（2 - 35）天，OC组为21（2 - 56）天。LC的总成本（中位数）为3788（2637 - 8101）德国马克，而OC为4509（2041 - 15218）德国马克。LC组的医院收入中位数为2790（1395 - 6975）德国马克，OC组为4650（1395 - 15346）德国马克。由于LC患者住院时间较短，与OC相比，这种方法给医院造成了微观经济损失。从宏观经济角度看，由于病休时间较短，LC是有益的。
