【摘要】 目的比较腹腔镜和开腹结直肠癌切除术治疗结直肠癌的成本。方法将2008年1月至2009年8月我院及中心医院收治的结直肠癌病人前瞻性非随机分为腹腔镜组和开腹组各20例,前瞻性比较两组的一般资料、手术资料、术后并发症、直接与间接医疗费用等。结果两组直接医疗成本差异明显(P<0.05),间接医疗成本比较腹腔镜组明显低于开腹手术组(P<0.01),两组总成本比较有明显差异(P<0.05),具有统计学意义。两组从手术材料、药品费用、住院费用、间接成本所占比例方面比较均有统计学意义(P<0.05)。结论腹腔镜结直肠癌手术虽总成本较高,但更有利于卫生资源的有效利用和降低医疗成本。更多还原

【Abstract】 Objective To compare laparoscopy and laparotomy resection of colorectal cancer treatment cost of colorectal cancer.Methods Patients with colorectal cancer were randomly divided into the laparoscopic group and non-laparotomy group,the general forward-looking information,operative data,intraoperative Complications,direct and indirect medical expenses were compared.Results The indirect medical costs of laparotomy group are significantly lower than the non-laparotomy group(P<0.01),the total cost of the two groups were significantly different(P<0.05).The surgical materials,medicine,hospital costs,indirect costs were obviously different between the two groups(P<0.05).Conclusion Although laparoscopic colorectal surgery has a higher total cost,and it can utilize health resources and reduce health care costs effectively.更多还原