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实施一项安全的成本降低策略,用于 laparoscopic 袖子胃切除术
Scott Z Mu1, Moamena El-Matbouly2, Hector M Lopez2
1Department of General Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA. (Dr. Mu).
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 2, 2026
概括
实施袖子胃切除术的成本节约策略,包括选择性使用手术用品,显著降低了每例1,283美元的手术室成本,而不会影响患者的结果.
科学领域:
- 腹部外科 腹部外科
- 改善外科手术的质量
- 医疗保健经济学 医疗保健经济学
背景情况:
- 手术室一次性供应成本在低血压手术中构成重大财务负担.
- 袖子胃切除术是一种常见的减肥手术,为成本降低计划提供了机会.
研究的目的:
- 评估实施一阶段性降低手套胃切除术期间一次性用品成本战略的财务影响.
- 评估修改后的截取技术的安全性和有效性,并提供对患者结果的使用情况.
主要方法:
- 进行了一项质量改善计划,涉及638次腹腔镜袖胃切除术.
- 该战略涉及从常规使用昂贵的领带机和支器过渡到更便宜的领带机,选择性地使用领带线增强器和剪贴应用器.
主要成果:
- 首次切换到单火器时,没有节省成本.
- 随后转换为更便宜的选择性增强和剪贴应用器的合器,每例节省了1,283美元 (95%CI:1,216美元至1,351美元).
- 没有观察到停留时间,30天的体重减轻或重新手术或再入院率的显著差异.
结论:
- 选择性地使用手术用品,包括剪贴器和紧线增强器,可以在袖子胃切除术中大幅节省成本.
- 在手术室采用成本降低策略是可行的,而不会损害患者的安全或手术结果.
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