Dixon C M, Theune C
Department of Urology, New York University School of Medicine, NY, USA.
J Endourol. 1995 Apr;9(2):189-93. doi: 10.1089/end.1995.9.189.
Cost is an extremely complex equation with many variables, but itemized hospital bills are useful in analysis because they reflect costs as defined by an institution. Using this data source, we found that the total cost of an outpatient visual laser-assisted prostatectomy ($6,872.42) is almost the same as that of transurethral resection with a 3-day hospital stay ($6,925.00). Use of local anesthesia, improvement in the efficiency of tissue vaporization, and increases in fiber durability to permit multiple use would reduce laser prostatectomy costs. The true economic impact of laser prostatectomy awaits a long-term analysis that takes into account the costs of late complications and of reoperation.
成本是一个包含许多变量的极其复杂的等式，但医院的明细账单在分析中很有用，因为它们反映了机构所定义的成本。利用这个数据源，我们发现门诊视觉激光辅助前列腺切除术的总成本（6872.42美元）与住院3天的经尿道前列腺切除术的总成本（6925.00美元）几乎相同。使用局部麻醉、提高组织汽化效率以及提高光纤耐用性以允许多次使用将降低激光前列腺切除术的成本。激光前列腺切除术的真正经济影响有待于进行长期分析，该分析要考虑到晚期并发症和再次手术的成本。
