Heikkinen T J, Haukipuro K, Koivukangas P, Hulkko A
Department of Surgery, Oulu University Hospital, Finland.
Surg Laparosc Endosc. 1998 Oct;8(5):338-44.
Laparoscopic hernia operations have been criticized in regard to their high hospital costs. This study was designed to compare the costs and some outcome features of totally extraperitoneal endoscopic hernia operation (TEP) and Lichtenstein mesh repair (OPN) among 45 randomized employed patients. The medians of operative time in the TEP and OPN groups were 67.5 and 53 min, respectively. Return to normal life was 14 days in the TEP group and 20 days in the OPN group. The hospital costs per patient were $1,239 (all costs are in US dollars) in the TEP group and $782 in the OPN group. The median total costs were $3,912 and $4,661 in the TEP and OPN groups, respectively. The Lichtenstein operation is cheaper for the hospital. The total costs for working patients are lower with the endoscopic technique because fewer working days are lost.
腹腔镜疝手术因其高昂的住院费用而受到批评。本研究旨在比较45例随机选取的在职患者中，完全腹膜外内镜疝修补术（TEP）和李金斯坦修补术（OPN）的费用及一些结果特征。TEP组和OPN组的手术时间中位数分别为67.5分钟和53分钟。TEP组恢复正常生活的时间为14天，OPN组为20天。TEP组每位患者的住院费用为1239美元（所有费用均以美元计），OPN组为782美元。TEP组和OPN组的总费用中位数分别为3912美元和4661美元。对医院来说，李金斯坦手术成本更低。对于在职患者，内镜技术的总成本更低，因为损失的工作日更少。
