Analysis of hospitalization expenses of the different esophagectomy
10.3760/cma.j.issn.1001-4497.2013.06.011
- VernacularTitle:腔镜与开放食管癌手术的住院费用比较
- Author:
Bin YOU
;
Shengcai HOU
;
Bin HU
;
Jie GUO
;
Hui LI
- Publication Type:Journal Article
- Keywords:
Esophageal carcinama;
Surgical procedures,minimally invasive;
Fees,medical
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;(6):358-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore economic valuation of the minimally invasive esophagectomy.Methods The cases undergone esophagectomy were studied retrospectively.Monofactorial analysis was done to evaluate the impact of various factors on the overall hospitalization costs.The correlated factors then were used as independent variables to carry out the multiple linear regression aimed at the hospitalization costs.Results The results of monofactorial analysis showed that the accompanying diseases,days during hospitalization,modes of esophagectomy,postoperative complications were correlated factors of the overall hospitalization costs.According to the multiple linear regression,it were sorted based on descending order duing to its effect of largenning the hospitalization costs:postoperative complications (β =0.439,P =0.000),days during hospitalization (β =0.397,P =0.000),accompanying diseases(β =0.257,P =0.000),modes of esophagectomy(β =0.132,P =0.000).The expenses caused immediately by the operations were statistically more of the minimally invasive surgery than that of the open procedures whatever the numerous or proportion of the overall costs (P =0.000).Conclusion Combined thoracoscopic and laparoscopic esophagectomy was more expensive than open operation.Nevertheless,impact of the other factors,such as postoperative complications,were more significant than that of the different procedure.h was a strategy to minimally invasive osophagectomy that hospitalization costs could be reduced by means of controlling complications and diminishing hospitalization days.
