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目的从经济角度探讨腹腔镜结直肠癌切除术的可行性。方法笔者于3年半间共施行根治性结直肠癌切除术454例,其中开腹手术191例,腹腔镜手术263例。对两组患者的住院总费用以及各主要分项费用进行对比分析。结果开腹手术组平均住院总费用约3.1万元,腹腔镜手术组约3.3万元,两组相差约2000元,但无统计学意义(P>0.05)。两组患者的西药费、放射费、化验费、检查费以及手术费相当,差异无统计学意义(P>0.05)。开腹组中位治疗费9000元,而腹腔镜组中位治疗费1.1万元,两组差别有统计学意义(P<0.05)。结论腹腔镜结直肠癌切除术的住院总费用仅略高于开腹手术,而前者具有微创优势,故对结直肠癌患者开展腹腔镜手术是可取的。
Objective To explore the feasibility of laparoscopic resection of colorectal cancer from an economic point of view. Methods The author performed 454 cases of radical colorectal cancer resection in three and a half years, of which 191 cases were laparotomy and 263 cases were laparoscopic surgery. The total cost of hospitalization of two groups of patients as well as the major sub-items cost comparative analysis. Results The average cost of hospitalization in laparotomy group was 31,000 yuan and that of laparoscopic group was 33,000 yuan. The difference between the two groups was about 2,000 yuan, but there was no statistical significance (P> 0.05). The two groups of patients Western medicine costs, radioactive charges, laboratory fees, examination fees and surgery costs were similar, the difference was not statistically significant (P> 0.05). In the open group, the median treatment cost was 9,000 yuan, while that in the laparoscopic group was 11,000 yuan. The differences between the two groups were statistically significant (P <0.05). Conclusions The total hospitalization cost of laparoscopic colorectal cancer resection is only slightly higher than that of laparotomy, while the former has the advantage of minimally invasive surgery. Therefore, laparoscopic surgery for patients with colorectal cancer is preferable.