Wulff U
Medizinische Einrichtungen, Universität zu Köln.
Zentralbl Chir. 1993;118(1):8-11; discussion 12.
In this overview minimal invasive surgery as demonstrated by endoscopic cholecystectomy is audited in comparison to conventional surgery as regards economic efficiency in the view of an university hospital. The costs of investment are significantly higher for minimal invasive surgery compared to conventional surgery, but the running costs are nearly identical for both procedures. Most decisive is the influence of minimal invasive surgery on the postoperative hospitalization time: by cutting this time the quantity of available hospital beds has to be reduced (in the case of invariable number for patients), however, this has no dramatic influence on the size of the surgical department.
在本综述中，从一所大学医院的角度，就经济效益而言，对以内镜胆囊切除术为代表的微创手术与传统手术进行了审核。与传统手术相比，微创手术的投资成本显著更高，但两种手术的运营成本几乎相同。微创手术对术后住院时间的影响最为关键：通过缩短该时间，必须减少可用病床数量（在患者数量不变的情况下），然而，这对手术科室的规模没有显著影响。
