Smart Philip, Castles Lindsay
Department of Surgery, Austin Health, Heidelberg, Victoria, Australia.
ANZ J Surg. 2012 Nov;82(11):809-12. doi: 10.1111/j.1445-2197.2012.06189.x. Epub 2012 Sep 11.
Laparoscopic inguinal hernia repair has been widely adopted. While the clinical advantages and disadvantages are well-quantified, the economic cost is less well-studied.
A retrospective audit and case review of a single-centre public hospital consecutive case series was performed using data captured from real-time stock usage tracking technology and review of electronic medical records.
Laparoscopic inguinal hernia repair requires 11-min (21%) extra theatre time and costs $1268 (370%) more for single-use disposable equipment and prostheses.
Laparoscopic inguinal hernia repair does not require significantly more theatre time, but has a higher short-term in-hospital cost. Repair technique should be tailored according to patient factors.
腹腔镜腹股沟疝修补术已被广泛采用。虽然其临床优缺点已有充分量化，但经济成本方面的研究较少。
利用从实时库存使用跟踪技术获取的数据以及电子病历回顾，对一家单中心公立医院的连续病例系列进行回顾性审计和病例审查。
腹腔镜腹股沟疝修补术需要额外11分钟（21%）的手术时间，且一次性使用设备和假体的成本高出1268美元（370%）。
腹腔镜腹股沟疝修补术并不需要显著更多的手术时间，但短期住院成本较高。修复技术应根据患者因素进行调整。
