摘要
目的 :门诊腹腔镜胆囊切除 (outpatientlaparoscopiccholecystectomy,OPLC)的可行性和可能性在国内还未被广泛认同。此项连续前瞻性研究探讨门诊腹腔镜胆囊切除是否安全、经济而具可行性。方法 :共有5 5位经选择患者加入此项研究。OPLC组 2 6位 ,常规腹腔镜组 (LC) 2 9位。术前检查、诊断以及术后留院时间、费用和并发症的资料采集后 ,予“独立样本T检验”(SPSS 10 .0统计软件 )分析。结果 :OPLC患者术后没有发生严重并发症如CBD损伤、出血等。平均术后观察时间为 7.19h ,平均总治疗费用 4 10 8.73RMB ,较LC患者的 5 0 6 8.17RMB降低有极显著差异 (t=31.6 6 4 ,P <0 .0 0 1)。 2 5 / 2 6位OPLC患者对这种治疗方案表示满意 ,与LC组患者满意度 (2 8/ 2 9)无统计学差异 (Chisquaretest:χ2 =0 .4 131,P >0 .0 5 )。结论 :OPLC和住院LC同样安全、可行 ,而总治疗费用更低。
Objective:The possibility and feasibility of outpatient laparoscopic cholecystectomy(OPLC) were controversial in China. To explore and discuss whether OPLC was safety,cost saving and feasibility in this prospective consecutive follow-up study.Methods:Fifty-five selected patients were added to this research. LC group was 29 cases,OPLC 26 cases. Data of preoperative examination,diagnosis,postoperative length of stay in hospital,medical costs and complications were analysed with “Independent Sample T Test(SPSS 10.0 statistical software)”.Results:No severe complications,such as common bile duct injury and hemorrhage were found. The average postoperative observed duration was 7.19 hours. The average total charge for OPLC was $4108.73 yuan and was significantly lowered than that for LC group($5068.17 yuan)(t=31,P<0.001). 25/26 patients of OPLC were satisfied with this therapeutic program. There was no statistical difference compared with LC patients(Chi square test:χ 2=0.4131,P>0.05).Conclusion:The safety and feasibility for both groups are same,where as the total therapeutic charge for OPLC is more lowered than that for LC.
出处
《肝胆胰外科杂志》
CAS
2004年第3期184-186,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胆囊切除术
腹腔镜
门诊
外科手术
费用分析
患者满意度
laparoscopic cholecystectomy
outpatient,surgery operative
cost analysis
patient satisfaction
