Buanes T, Sørensen B A, Stadaas J O
Gastroenterologisk avdeling Kirurgisk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1993 Jun 20;113(16):2007-9.
Based on data from our prospective comparative study, we calculated health care costs associated with cholecystectomy (n = 200) and appendectomy (n = 40) patients undergoing open and laparoscopic procedures respectively. Average costs associated with cholecystectomy were reduced from NOK 36,750 to NOK 14,050 (62% decrease) when the laparoscopic technique replaced the conventional open method. A similar comparative study focused on appendectomy was performed with 20 patients in each group, and the costs were reduced by altogether 56%. The potential for decrease in health care costs seems to be substantial, even though requiring investments in equipment and education. Mini-invasive surgery not only improves the quality of surgical treatment, but also increases the efficacy of health care investments.
根据我们前瞻性比较研究的数据，我们分别计算了接受开放手术和腹腔镜手术的胆囊切除术患者（n = 200）和阑尾切除术患者（n = 40）的医疗费用。当腹腔镜技术取代传统开放手术方法时，胆囊切除术的平均费用从36,750挪威克朗降至14,050挪威克朗（减少了62%）。对阑尾切除术进行了类似的比较研究，每组20例患者，费用总共降低了56%。尽管需要在设备和教育方面进行投资，但医疗费用降低的潜力似乎很大。微创手术不仅提高了手术治疗质量，还提高了医疗投资的效益。
