Treatment Strategy in Consideration of Medical Costs for Acute Appendicitis

DOI

Bibliographic Information

Other Title
  • 急性虫垂炎に対する医療経済を考慮した治療戦略

Description

Background: 66 patients who underwent surgery for acute appendicitis from October, 2007 to October, 2010 were reviewed. Of these, 32, 27 and 7 underwent Open appendectomy (OA), Laparoscopic appendectomy (LA) and Single Incision Laparoscopic appendectomy (SA), respectively. Methods: We examined the relationship of the operation method which was classified into 3 groups to the preoperative diagnosis and costs performance. Results: In the preoperative diagnosis, there were significant differences in the existence of ileocecal inflammation between OA (40.6%) and LA+SA (11.8%) (p=0.007). In the postoperative treatment outcome and progress, LA+SA was statistically better in the amount of bleeding, postoperative effluent gas, time period until ingestion started, hospitalization and the point of DPC (Diagnosis Procedure Combination) per day on hospitalization than OA (p<0.05). Conclusion: We have often experienced many cases in which OA was not necessary, because surgery could be accomplished via laparoscopy. It would appear that SA should be performed first, but the surgeon should be prepared to convert the surgical method to LA if the operation is difficult to accomplish with SA. Finally, an effort should be made to reduce the medical costs for SA.

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Details 詳細情報について

  • CRID
    1390001204734619520
  • NII Article ID
    130004509032
  • DOI
    10.11231/jaem.32.757
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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