Lanitis Sophocles, Korontzi Maria, Sgourakis George, Karkoulias Kyriakos, Kontovounisios Christos, Karaliotas Constantine
2nd Surgical Department and Unit of Surgical Oncology, Korgialenio-Benakio, Red Cross Athens General Hospital, Athens, Greece.
Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):471-6. doi: 10.1097/SLE.0b013e31825806b2.
Laparoscopic appendicectomy (LA) may be the treatment of choice for acute appendicitis. Our aim was to assess LA in Greek reality. Within a year, 135 patients with a mean age of 29.25 years (14 to 67) underwent an operation for "acute appendicitis." We analyzed the hospital stay, the morbidity, the cost, and the severity of the inflammation and compared the open appendicectomy [OA (78)] with the LA (57) approach. There were no differences in the appendicitis severity (P = 0.667), and similar complication rate (P = 0.414) and mean hospital stay were observed between the groups (LA = 3.18 vs. OA = 2.97, P = 0.664). In the way, medical procedures are priced in Greece; the mean net cost of LA was 1320.60 euros (1748.05 USD), whereas for OA, it was 237.8 euros (314.77 USD). The severity of appendicitis is not a limitation for LA. Because of an insufficient costing system in Greece, the best cost effectiveness is for young women and obese men.
腹腔镜阑尾切除术（LA）可能是急性阑尾炎的首选治疗方法。我们的目的是评估LA在希腊实际应用中的情况。在一年时间里，135例平均年龄为29.25岁（14至67岁）的患者接受了“急性阑尾炎”手术。我们分析了住院时间、发病率、费用以及炎症的严重程度，并将开腹阑尾切除术[OA（78例）]与LA（57例）方法进行了比较。两组之间阑尾炎严重程度无差异（P = 0.667），并发症发生率相似（P = 0.414），平均住院时间也相近（LA = 3.18天 vs. OA = 2.97天，P = 0.664）。就希腊医疗程序的定价方式而言，LA的平均净成本为1320.60欧元（1748.05美元），而OA为237.8欧元（314.77美元）。阑尾炎的严重程度并非LA的限制因素。由于希腊的成本核算系统不完善，对于年轻女性和肥胖男性来说，成本效益最佳。
