Goco I R, Chambers L G
Department of Surgery, Wake Forest University Medical Center, Winston-Salem, NC.
South Med J. 1988 Feb;81(2):161-3.
We present minicholecystectomy as a means of cost containment and discharge from the hospital 24 to 48 hours later. Among 450 patients undergoing this form of cholecystectomy through a 4 cm incision, only 49 stayed longer than an average of 1.2 days; all of those patients had preexisting surgical problems, some of which were corrected concurrently. Forty-two patients were admitted on the morning of the day of operation and stayed an average of 1.07 days. The mortality was 1/450 (0.2%); the complication rate was 3.1%. We have found the shorter and earlier procedure an excellent and safe means of cost containment and recommend that earlier discharge be considered for other procedures as well.
我们提出小切口胆囊切除术是一种控制成本并能在术后24至48小时出院的方法。在450例通过4厘米切口接受这种胆囊切除术的患者中，只有49例住院时间超过平均1.2天；所有这些患者都有既往手术问题，其中一些问题在手术时同时得到了纠正。42例患者在手术当天上午入院，平均住院1.07天。死亡率为1/450（0.2%）；并发症发生率为3.1%。我们发现这种更短、更早进行的手术是控制成本的一种极佳且安全的方法，并建议其他手术也考虑更早出院。
