Demirel I, Ozer A B, Kilinc M, Bayar M K, Erhan O L
Department of Anesthesiology and Reanimation, Firat University Medical School, Elazig, Turkey.
Niger J Clin Pract. 2014 Nov-Dec;17(6):696-700. doi: 10.4103/1119-3077.144380.
Appendectomy is generally conducted as open or by laparoscopic surgical techniques under general anesthesia.
This study aims to compare the anesthetic costs of the patients, who underwent open or laparoscopic appendectomy under general anesthesia.
The design is retrospective and records of 379 patients who underwent open or laparoscopic appendectomy under general anesthesia, falling under the category of I-III risk group according to the American Society of Anesthesiologists (ASA) classification between the years 2011 and 2013, and aged 18-77.
Open (Group I) or laparoscopic (Group II) appendectomy operation under general anesthesia were evaluated retrospectively by utilizing hospital automation and anesthesia observation records. This study evaluated the anesthesia time of the patients and total costs (Turkish Lira ₺, US dollar $) of anesthetic agents used (induction, maintenance), necessary medical materials (connecting line, endotracheal tube, airway, humidifier, branule, aspiration probe), and intravenously administered fluids were evaluated.
We used Statistical Package for the Social Sciences software (SPSS version 17.0) for statistical analysis.
Of the patients, 237 were males (62.53%) and 142 were females (37.47%). Anesthesia time limits were established as 70.30 ± 30.23 minute in Group I and 74.92 ± 31.83 minute in Group II. Mean anesthesia administration cost per patient was found to be 78.79 ± 30.01₺ (39.16 ± 14.15$) in Group I and 83.09 ± 26.85₺ (41.29 ± 13.34$) in Group II (P > 0.05). A correlation was observed between cost and operation times (P = 0.002, r = 0.158).
Although a statistical difference was not established in this study in terms of time and costs in appendectomy operations conducted as open and laparoscopically, changes may occur in time in market conditions of drugs, patent rights, legal regulations, and prices. Therefore, we believe that it would be beneficial to update and revise cost analyses from time to time.
阑尾切除术通常在全身麻醉下通过开放手术或腹腔镜手术技术进行。
本研究旨在比较在全身麻醉下接受开放或腹腔镜阑尾切除术患者的麻醉费用。
本研究为回顾性研究，记录了2011年至2013年间379例在全身麻醉下接受开放或腹腔镜阑尾切除术的患者，这些患者根据美国麻醉医师协会（ASA）分类属于I - III风险组，年龄在18 - 77岁之间。
利用医院自动化和麻醉观察记录对全身麻醉下的开放（第一组）或腹腔镜（第二组）阑尾切除术进行回顾性评估。本研究评估了患者的麻醉时间以及所用麻醉剂（诱导、维持）、必要医疗材料（连接线、气管导管、气道、加湿器、颗粒、吸引探头）和静脉输注液体的总成本（土耳其里拉₺、美元$）。
我们使用社会科学统计软件包（SPSS版本17.0）进行统计分析。
患者中，男性237例（62.53%），女性142例（37.47%）。第一组麻醉时间限制为70.30 ± 30.23分钟，第二组为74.92 ± 31.83分钟。第一组患者平均麻醉给药成本为78.79 ± 30.01₺（39.16 ± 14.15$），第二组为83.09 ± 26.85₺（41.29 ± 13.34$）（P > 0.05）。观察到成本与手术时间之间存在相关性（P = 0.002，r = 0.158）。
尽管本研究在开放和腹腔镜阑尾切除术的时间和成本方面未发现统计学差异，但药物市场状况、专利权、法律法规和价格可能会随时间发生变化。因此，我们认为定期更新和修订成本分析是有益的。
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