Skattum J, Edwin B, Trondsen E, Mjåland O, Raede J, Buanes T
Gastrosurgical Department, Ullevaal University Hospital, Oslo, Norway.
Surg Endosc. 2004 May;18(5):796-801. doi: 10.1007/s00464-003-9180-z.
The purpose of this paper is to describe the outcome of ambulatory laparoscopic cholecystectomy (LC), antireflux surgery, adrenalectomy and splenectomy and possible implications for surgical education and health care costs.
Prospective, observational study 1994-2003.
The success rate of ambulatory treatment was 83.5% in 1060 LC patients, 80% in 113 antireflux procedures, 100% in 22 laparoscopic adrenalectomies, and 75% in 12 laparoscopic splenectomies. In a total number of 1207 patients, health care costs were reduced by almost 700,000 dollars, compared to 1-day hospital stay. The educational potential of same-day surgery is large, due to high numbers of patients, and 80% of our educational potential has been exploited.
Ambulatory laparoscopic surgery is cost effective, patient friendly, and appropriate for surgical resident training. Strict organization of security rules is mandatory.
本文旨在描述非住院腹腔镜胆囊切除术（LC）、抗反流手术、肾上腺切除术和脾切除术的结果，以及对外科教育和医疗保健成本可能产生的影响。
1994年至2003年的前瞻性观察研究。
1060例LC患者的非住院治疗成功率为83.5%，113例抗反流手术的成功率为80%，22例腹腔镜肾上腺切除术的成功率为100%，12例腹腔镜脾切除术的成功率为75%。在总共1207例患者中，与住院1天相比，医疗保健成本降低了近70万美元。由于患者数量众多，当日手术的教育潜力很大，我们80%的教育潜力已得到开发。
非住院腹腔镜手术具有成本效益、对患者友好，适合外科住院医师培训。必须严格组织安全规则。
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