TY -的A2 Cuccurullo迭戈AU - Kapoor Trishul AU - Wrenn,肖恩·m . AU -卡拉斯彼得·w . AU - Abu-Jaish Wasef PY - 2018 DA - 2018/12/10 TI -成本分析和提供利用腹腔镜胆囊切除术SP - 7838103六世- 2018 AB -腹腔镜胆囊切除术(LC)是最高的体积每年接受手术。我们假设在不同亚专业的外科医生之间存在统计学上显著的部门内成本差异和供应利用率差异。本研究旨在描述三个外科医生亚专科腹腔镜胆囊切除术的护理费用。该回顾性观察队列研究收集了2015年6月至2016年6月期间进行的372例腹腔镜胆囊切除术病例，12名外科医生分为3个亚专科:2名在减肥外科(BS)， 5名在急性护理外科(ACS)， 5名在普通外科(GS)。该研究使用了一个第三方软件，外科盈利罗盘程序成本管理和Crimson系统(SPCMCS) (The Advisory Board Company, Washington, DC)，对病例数量、供应成本、病例持续时间、病例严重程度和患者在科室内的住院时间进行分层。统计方法采用Kruskal-Wallis检验。每箱平均复合供应费用为569美元，每箱平均供应费用为554美元。病例数分别为133 (BS)、109 (ACS)和130 (GS)。部门内部总供应成本中位数分别为674.5美元(BS)、534美元(ACS)和564美元(GS) (P<0.005)。ACS和GS的成本标准差更高，ACS为98美元，GS为110美元，BS为26美元。 The median case duration was 70 min (BS), 107 min (ACS), and 78 min (GS) (P<0.02). The average patient length of stay was 1.15 (BS), 3.10 (ACS), and 1.17 (GS) (P<0.005). Overall, there was a statistically significant difference in median supply cost (highest in BS; lowest in ACS and GS). However, the higher supply costs may be attenuated by decreased operative time and patient length of stay. Strategies to reduce total supply cost per case include mandating exchange of expensive items, standardization of supply sets, increased price transparency, and education to surgeons. SN - 2090-1445 UR - https://doi.org/10.1155/2018/7838103 DO - 10.1155/2018/7838103 JF - Minimally Invasive Surgery PB - Hindawi KW - ER -