DesCôteaux J G, Tye L, Poulin E C
Department of Surgery, Hôpital du Saint-Sacrement, Université Laval, Québec.
Can J Surg. 1996 Apr;39(2):133-9.
To evaluate the cost benefits of reusing disposable laparoscopic instruments.
A cost-analysis study based on a review of laparoscopic and thoracoscopic procedures performed between August 1990 and January 1994, including analysis of disposable instrument use, purchase records, and reprocessing costs for each instrument.
The general surgery department of a 461-bed teaching hospital where disposable laparoscopic instruments are routinely reused according to internally validated reprocessing protocols.
Laparoscopic and thoracoscopic interventions performed between August 1990 and January 1994 for which the number and types of disposable laparoscopic instruments were standardized.
Reprocessing cost per instrument, the savings realized by reusing disposable laparoscopic instruments and the cost-efficient number of reuses per instrument.
The cost of reprocessing instruments varied from $2.64 (Can) to $4.66 for each disposable laparoscopic instrument. Purchases of 10 commonly reused disposable laparoscopic instruments totalled $183,279, and the total reprocessing cost was estimated at $35,665 for the study period. Not reusing disposable instruments would have cost $527,575 in instrument purchases for the same period. Disposable laparoscopic instruments were reused 1.7 to 68 times each.
Under carefully monitored conditions and strict guidelines, reuse of disposable laparoscopic and thoracoscopic instruments can be cost-effective.
评估重复使用一次性腹腔镜器械的成本效益。
一项成本分析研究，基于对1990年8月至1994年1月间进行的腹腔镜和胸腔镜手术的回顾，包括对一次性器械使用情况、采购记录以及每种器械的再处理成本的分析。
一家拥有461张床位的教学医院的普通外科，根据内部验证的再处理方案，一次性腹腔镜器械在此常规重复使用。
对1990年8月至1994年1月间进行的腹腔镜和胸腔镜干预措施进行研究，其中一次性腹腔镜器械的数量和类型已标准化。
每件器械的再处理成本、重复使用一次性腹腔镜器械所实现的节省以及每件器械的成本效益再使用次数。
每件一次性腹腔镜器械的再处理成本从2.64加元到4.66加元不等。在研究期间，10种常用的重复使用的一次性腹腔镜器械采购总额为183,279加元，总再处理成本估计为35,665加元。若不重复使用一次性器械，同期器械采购成本将达527,575加元。一次性腹腔镜器械每件重复使用1.7至68次。
在仔细监测的条件和严格的指导原则下，重复使用一次性腹腔镜和胸腔镜器械具有成本效益。
