Fernández Lobato Rosa, Ruiz de Adana Belbel Juan Carlos, Angulo Morales Francisco, García Septiem Javier, Marín Lucas Francisco Javier, Limones Esteban Manuel
Servicio de Cirugía General y Digestivo, Hospital Universitario de Getafe, Getafe, Madrid, España.
Servicio de Cirugía General y Digestivo, Hospital Universitario de Getafe, Getafe, Madrid, España.
Cir Esp. 2014 Oct;92(8):553-60. doi: 10.1016/j.ciresp.2013.04.012. Epub 2013 Sep 19.
Laparoscopic surgery is a successful treatment option offering significant advantages to patients compared with open ventral hernia repair. A cost-benefit analysis was performed to compare the clinical results and economic costs of the open and laparoscopic techniques for anterior abdominal wall hernia repair, in order to determine the more efficient procedure.
We performed a prospective study of 140 patients with primary and incisional hernia, and analyzed clinical data, morbidity, costs of surgery and hospital stay costs.
The cost of disposable surgical supplies was higher with laparoscopic repair but reduced the average length of stay (P<.001) and patient morbidity (P<.001). The total cost of the laparoscopic procedure was, therefore, less than initially estimated, yielding a savings of 1,260€ per patient (2,865€ vs. 4,125€).
Laparoscopic ventral hernia repair is associated with a reduced complication rate, a lower average length of stay and with lower total costs. Laparoscopic repair can save 1.260€ for each patient, and so this procedure should be considered a cost-effective approach.
与开放性腹疝修补术相比，腹腔镜手术是一种成功的治疗选择，为患者带来显著优势。进行成本效益分析以比较开放性和腹腔镜技术用于前腹壁疝修补术的临床结果和经济成本，从而确定更有效的手术方法。
我们对140例原发性和切口疝患者进行了前瞻性研究，并分析了临床数据、发病率、手术成本和住院费用。
腹腔镜修补术的一次性手术耗材成本较高，但缩短了平均住院时间（P<0.001）并降低了患者发病率（P<0.001）。因此，腹腔镜手术的总成本低于最初估计，每位患者节省1260欧元（2865欧元对4125欧元）。
腹腔镜腹疝修补术并发症发生率降低，平均住院时间缩短，总成本降低。腹腔镜修补术可为每位患者节省1260欧元，因此该手术应被视为一种具有成本效益的方法。
