用于腹腔镜结肠切除术的再处理双极能量：值得吗？
Reprocessed bipolar energy for laparoscopic colectomy: Is it worth it?
作者信息
Brady Justin T, Bhakta Avinash, Steele Scott R, Trunzo Joseph A, Senagore Anthony J, Holmgren Krista, Schillero Anthony, Champagne Bradley J
机构信息
Department of Colorectal Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Department of Colorectal Surgery, University Hospitals Westlake Health Center, Westlake, OH, USA.
出版信息
Am J Surg. 2017 Jul;214(1):59-62. doi: 10.1016/j.amjsurg.2017.02.012. Epub 2017 Feb 20.
BACKGROUND
Reprocessed (re-sterilized) bipolar energy devices represent one effort to reduce operative costs.
METHODS
Between January 2014 to October 2015, 76 patients underwent laparoscopic colectomy using a reprocessed bipolar energy device and were case-matched to 76 patients from a prospectively-maintained database from November 2012 to December 2013 when an identical, new device was used. Outcomes included reprocessed device safety, efficiency and hospital costs.
RESULTS
There was no difference in patient demographics, operative times or failed pedicle ligation requiring intervention between groups (all P > 0.05). In 19.7% of reprocessed cases, the surgeon opened an additional new device after dissatisfaction with the reprocessed instrument. Operating room costs and total costs were less for the reprocessed device group (all P < 0.05).
CONCLUSION
Reprocessed bipolar energy devices were associated with savings in operative expenses, however, larger studies are warranted due to the high surgeon dissatisfaction regarding safety concerns with the reprocessed equipment.
背景
经再处理（重新灭菌）的双极能量设备是降低手术成本的一种尝试。
方法
2014年1月至2015年10月期间，76例患者使用经再处理的双极能量设备接受了腹腔镜结肠切除术，并与2012年11月至2013年12月前瞻性维护数据库中的76例患者进行病例匹配，当时使用的是相同的新设备。结果包括再处理设备的安全性、效率和医院成本。
结果
两组患者的人口统计学特征、手术时间或需要干预的蒂结扎失败情况均无差异（所有P>0.05）。在19.7%的再处理病例中，外科医生在对再处理器械不满意后额外打开了一个新设备。再处理设备组的手术室成本和总成本较低（所有P<0.05）。
结论
经再处理的双极能量设备可节省手术费用，然而，由于外科医生对再处理设备的安全问题存在高度不满，因此需要进行更大规模的研究。
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