机器人与同期胸腔镜肺癌手术治疗费用的比较
Cost of robotic versus thoracoscopic lung cancer surgery:A retrospective study
郭梓鑫 1胡军威 1胡力文 1孔萍 2胡卫东1
作者信息
- 1. 武汉大学中南医院胸外科 湖北 武汉 430071;肿瘤生物学行为湖北省重点实验室/湖北省肿瘤医学临床研究中心 湖北 武汉 430071
- 2. 武汉大学中南医院信息中心 湖北 武汉 430071
- 折叠
摘要
目的:比较机器人与胸腔镜肺癌手术的治疗费用差异.方法:回顾性收集2019年11月—2022年4月于武汉大学中南医院接受机器人和胸腔镜肺癌手术的581例患者的临床资料.将患者分为机器人组(188例)和胸腔镜组(393例),比较两组患者基线特征,并分析两组患者的治疗费用差异.结果:两组患者基线特征整体一致.机器人手术术中出血量显著低于胸腔镜手术组(P＜0.05).机器人组医疗费用显著高于胸腔镜组(P＜0.05),主要差异在于机器人使用费用(手术费用和耗材费用)(P＜0.05).手术并发症、术后引流时间、术后住院时间两组间差异没有统计学意义(P＞0.05).结论:机器人与胸腔镜肺手术总费用的主要差异在于机器人使用费用,机器人手术在控制术中出血量方面更具有优势.
Abstract
Objective:To compare the treatment cost difference between robotic and thoracoscopic lung can-cer surgery.Methods:Clinical data of 581 patients who underwent robotic and thoracoscopic lung can-cer surgery in Zhongnan Hospital of Wuhan University from November 2019 to April 2022 were retro-spectively collected.The patients were divided into a robotic group(n=188)and a thoracoscopic group(n=393).The baseline characteristics were compared between the two groups,and differences in treatment costs were analyzed.Results:The baseline characteristics were generally consistent be-tween the two groups.Intraoperative blood loss was significantly lower in the robotic surgery group than in the thoracoscopic surgery group(P＜0.05).Medical costs in the robotic group were significant-ly higher than those in the thoracoscopy group(P＜0.05),and the main differences were in the cost of robotic usage(surgical cost and consumables)(P＜0.05).There were no differences in surgical com-plications,postoperative drainage time,or postoperative hospital stay between the two groups(P＞0.05).Conclusion:The main difference in the total cost of robotic versus thoracoscopic pulmo-nary surgery is derived from the cost of robotic usage.Robotic surgery offers advantages in controlling intraoperative blood loss.
关键词
肺癌/机器人手术/治疗费用/电视辅助胸腔镜手术Key words
Lung Cancer/Robot-Assisted Surgery/Cost of Treatment/Video-Assisted Thoracic Surgery引用本文复制引用
基金项目
武汉大学中南医院科技创新培育基金资助项目(LCYF202208)
出版年
2024
NETL
NSTL
万方数据