Laycock W S, Oddsdottir M, Franco A, Mansour K, Hunter J G
Department of Surgery, Emory University Hospital, Atlanta GA 30322, USA.
Surg Endosc. 1995 Apr;9(4):426-9; discussion 430. doi: 10.1007/BF00187166.
Laparoscopic Nissen fundoplication is a relatively new technique used to treat gastroesophageal reflux disease (GERD). The purpose of this study was to compare the cost to the patient and insurer of a laparoscopic Nissen fundoplication (LN) to an open Belsey Mark IV (B4), the previous standard operation for GERD at Emory University Hospital. A retrospective review of 20 consecutive patients undergoing LN or B4 for GERD was performed. Patients were well matched for age, severity of disease, and comorbid illness. The data were analyzed using an unpaired Student's t-test or Wilcoxon signed rank analysis. The results are as follows (mean +/- SD): [table: see text] We conclude that the charges for laparoscopic Nissen fundoplication are significantly less than the charges for Belsey Mark IV. The majority of the savings resulted from a shortened hospital stay.
腹腔镜下尼森胃底折叠术是一种用于治疗胃食管反流病（GERD）的相对较新的技术。本研究的目的是比较腹腔镜下尼森胃底折叠术（LN）与开放性贝尔西Mark IV术（B4）（埃默里大学医院之前治疗GERD的标准手术）对患者和保险公司造成的费用。对连续20例接受LN或B4治疗GERD的患者进行了回顾性研究。患者在年龄、疾病严重程度和合并症方面匹配良好。使用非配对学生t检验或威尔科克森符号秩分析对数据进行分析。结果如下（平均值±标准差）：[表格：见正文]我们得出结论，腹腔镜下尼森胃底折叠术的费用明显低于贝尔西Mark IV术的费用。大部分节省费用来自缩短的住院时间。
