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腹腔镜脾切除术：降低住院费用。

Laparoscopic splenectomy: reduction of hospital charges.

作者信息

Schlinkert R T, Mann D, Weaver A

机构信息

Mayo Clinic Scottsdale, Scottsdale, AZ, USA.

出版信息

J Gastrointest Surg. 1998 May-Jun;2(3):278-82. doi: 10.1016/s1091-255x(98)80023-1.

DOI:10.1016/s1091-255x(98)80023-1
PMID:9841985
Abstract

Laparoscopic splenectomy has become our procedure of choice for the surgical management of immune thrombocytopenic purpura. Hospital charges for this procedure were analyzed for 24 consecutive patients undergoing laparoscopic splenectomy. Total charges have decreased over time and average a $233 decrease per patient treated. The decreased charges are related to decreased operating room charges. Furthermore, charges are shown to be related to the length of postoperative stay. Choice of instrumentation has kept intraoperative charges for disposables stable.

摘要

腹腔镜脾切除术已成为我们治疗免疫性血小板减少性紫癜的首选手术方法。对连续24例行腹腔镜脾切除术的患者的该手术住院费用进行了分析。总费用随时间下降，平均每位接受治疗的患者减少233美元。费用下降与手术室费用降低有关。此外，费用显示与术后住院时间有关。器械的选择使一次性用品的术中费用保持稳定。

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Laparoscopic splenectomy: reduction of hospital charges.腹腔镜脾切除术：降低住院费用。
J Gastrointest Surg. 1998 May-Jun;2(3):278-82. doi: 10.1016/s1091-255x(98)80023-1.
2
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Am Surg. 2003 May;69(5):377-81.
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Laparoscopic versus open splenectomy for immune thrombocytopenic purpura.
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Laparoscopic splenectomy in childhood hematologic disorders.儿童血液系统疾病的腹腔镜脾切除术
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Laparoscopic splenectomy for immune thrombocytopenic purpura.腹腔镜脾切除术治疗免疫性血小板减少性紫癜。
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引用本文的文献

1
Laparoscopic splenectomy reduces the need for platelet transfusion in patients with idiopathic thrombocytopenic purpura.腹腔镜脾切除术减少了特发性血小板减少性紫癜患者的血小板输注需求。
JSLS. 2005 Oct-Dec;9(4):415-8.

本文引用的文献

1
Laparoscopic splenectomy for immune thrombocytopenic purpura.腹腔镜脾切除术治疗免疫性血小板减少性紫癜。
Arch Surg. 1997 Jun;132(6):642-6. doi: 10.1001/archsurg.1997.01430300084017.
2
Laparoscopic versus open splenectomy for immune thrombocytopenic purpura.
Surgery. 1997 Jan;121(1):18-22. doi: 10.1016/s0039-6060(97)90177-x.
3
Preperitoneal bilateral inguinal herniorrhaphy evolution of a technique from conventional to laparoscopic.腹膜前双侧腹股沟疝修补术：一种从传统技术到腹腔镜技术的演变
Surg Endosc. 1996 Feb;10(2):122-7. doi: 10.1007/s004649910029.
4
An economic evaluation of laparoscopic versus open inguinal hernia repair.腹腔镜与开放腹股沟疝修补术的经济学评估
J Public Health Med. 1996 Mar;18(1):41-8. doi: 10.1093/oxfordjournals.pubmed.a024460.
5
New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication. A prospective randomized trial.腹腔镜尼氏胃底折叠术期间短胃血管离断的新技术。一项前瞻性随机试验。
Surg Endosc. 1996 Jan;10(1):71-3. doi: 10.1007/s004649910019.
6
Laparoscopic Nissen fundoplication: cost, morbidity, and outcome compared with open surgery.腹腔镜尼森胃底折叠术：与开放手术相比的成本、发病率及结局
Surg Laparosc Endosc. 1996 Apr;6(2):140-3.
7
Laparoscopic splenectomy in patients with hematologic diseases.血液系统疾病患者的腹腔镜脾切除术
Ann Surg. 1996 Jul;224(1):19-28. doi: 10.1097/00000658-199607000-00004.
8
Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms.腹腔镜肾上腺切除术与开放性肾上腺切除术治疗良性肾上腺肿瘤的比较。
J Am Coll Surg. 1996 Jul;183(1):1-10.
9
The laparoscopic surgical value package and how surgeons can influence costs.腹腔镜手术价值套餐以及外科医生如何影响成本。
Surg Clin North Am. 1996 Jun;76(3):631-9. doi: 10.1016/s0039-6109(05)70469-2.
10
Laparoscopic splenectomy in adults and children: experience with 31 patients.
Surgery. 1996 Apr;119(4):384-9. doi: 10.1016/s0039-6060(96)80136-x.