Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Division of Gastroenterological Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Surg Today. 2024 Oct;54(10):1201-1207. doi: 10.1007/s00595-024-02831-z. Epub 2024 Apr 12.
The purpose of this study was to compare the financial burden of surgery for retroperitoneal sarcoma (RPS) and gastric cancer (GC).
All patients who underwent surgery for GC or RPS between 2020 and 2021 at Nagoya University Hospital were included. The clinical characteristics, surgical fees per surgeon, and surgical fees per hour were compared between the two groups.
The GC and RPS groups included 35 and 63 patients, respectively. In the latter group, 37 patients (59%) underwent tumor resection combined with organ resection; the most common organ was the intestine (n = 23, 37%), followed by the kidney (n = 16, 25%). The mean operative time (248 vs. 417 min, p < 0.001) and intraoperative blood loss (423 vs. 1123 ml, p < 0.001) were significantly greater in the RPS group than in the GC group. The mean surgical fee per surgeon was USD 1667 in the GC group and USD 1022 in the RPS group (p < 0.001) and USD 1388 and USD 777 per hour, respectively (p < 0.001).
The financial burden of surgical treatment for RPS is unexpectedly higher than that for GC.
本研究旨在比较腹膜后肉瘤（RPS）和胃癌（GC）手术的经济负担。
纳入 2020 年至 2021 年在名古屋大学医院接受 GC 或 RPS 手术的所有患者。比较两组患者的临床特征、每位外科医生的手术费用和每小时手术费用。
GC 组和 RPS 组分别纳入 35 例和 63 例患者。在后一组中，37 例（59%）患者接受了肿瘤切除联合器官切除；最常见的器官是肠（n=23，37%），其次是肾脏（n=16，25%）。RPS 组的手术时间（248 分钟比 417 分钟，p<0.001）和术中出血量（423 毫升比 1123 毫升，p<0.001）明显大于 GC 组。GC 组每位外科医生的手术费用为 1667 美元，RPS 组为 1022 美元（p<0.001），每小时费用分别为 1388 美元和 777 美元（p<0.001）。
RPS 手术治疗的经济负担出乎意料地高于 GC。
