腹腔镜与开腹肝脏及胰腺切除术的成本：一项系统评价
Costs of laparoscopic and open liver and pancreatic resection: a systematic review.
作者信息
Limongelli Paolo, Vitiello Chiara, Belli Andrea, Pai Madhava, Tolone Salvatore, Del Genio Gianmattia, Brusciano Luigi, Docimo Giovanni, Habib Nagy, Belli Giulio, Jiao Long Richard, Docimo Ludovico
机构信息
Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
出版信息
World J Gastroenterol. 2014 Dec 14;20(46):17595-602. doi: 10.3748/wjg.v20.i46.17595.
AIM
To study costs of laparoscopic and open liver and pancreatic resections, all the compiled data from available observational studies were systematically reviewed.
METHODS
A systematic review of the literature was performed using the Medline, Embase, PubMed, and Cochrane databases to identify all studies published up to 2013 that compared laparoscopic and open liver [laparoscopic hepatic resection (LLR) vs open liver resection (OLR)] and pancreatic [laparoscopic pancreatic resection (LPR) vs open pancreatic resection] resection. The last search was conducted on October 30, 2013.
RESULTS
Four studies reported that LLR was associated with lower ward stay cost than OLR (2972 USD vs 5291 USD). The costs related to equipment (3345 USD vs 2207 USD) and theatre (14538 vs 11406) were reported higher for LLR. The total cost was lower in patients managed by LLR (19269 USD) compared to OLR (23419 USD). Four studies reported that LPR was associated with lower ward stay cost than OLR (6755 vs 9826 USD). The costs related to equipment (2496 USD vs 1630 USD) and theatre (5563 vs 4444) were reported higher for LPR. The total cost was lower in the LPR (8825 USD) compared to OLR (13380 USD).
CONCLUSION
This systematic review support the economic advantage of laparoscopic over open approach to liver and pancreatic resection.
目的
为研究腹腔镜与开放肝切除术及胰腺切除术的成本，对现有观察性研究的所有汇总数据进行了系统评价。
方法
使用Medline、Embase、PubMed和Cochrane数据库对文献进行系统评价，以识别截至2013年发表的所有比较腹腔镜与开放肝切除术[腹腔镜肝切除术（LLR）与开放肝切除术（OLR）]及胰腺切除术[腹腔镜胰腺切除术（LPR）与开放胰腺切除术]的研究。最后一次检索于2013年10月30日进行。
结果
四项研究报告称，LLR的病房停留成本低于OLR（2972美元对5291美元）。报告显示，LLR的设备成本（3345美元对2207美元）和手术室成本（14538对11406）更高。与OLR（23419美元）相比，接受LLR治疗的患者总成本更低（19269美元）。四项研究报告称，LPR的病房停留成本低于OLR（6755美元对9826美元）。报告显示，LPR的设备成本（2496美元对1630美元）和手术室成本（5563对4444）更高。与OLR（13380美元）相比，LPR的总成本更低（8825美元）。
结论
该系统评价支持腹腔镜肝切除术及胰腺切除术相对于开放手术的经济优势。
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