腹腔镜胆囊切除术的标准和基准，在一个独立的门诊中心

腹腔镜胆囊切除术的标准和基准，在一个独立的门诊中心

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摘要：
背景与目的：减少报销的时代的经济生存的关键，包括控制成本和避免并发症。在努力降低成本，腹腔镜胆囊切除术已进行同一天出院，从医院的环境。独立的门诊手术中心提供了更大的成本节约是否可以放心安全。设施费，手术技术和仪器的选择影响成本的过程。
方法：将一个数据库，前瞻性累计100腹腔镜胆囊切除术在一个独立的门诊手术中心进行评估费用，后勤方面的限制，安全第一。
结论：独立的门诊手术中心是一个合适的设施为经验丰富的经营团队，以在选定的病人进行腹腔镜胆囊切除术。外科医生的选择适当的能量源和仪器是必不可少的最具成本效益的方式来完成操作。
结果：腹腔镜胆囊切除术的100例患者完成99。一个病人被怀疑是癌腹腔镜手术和开腹胆囊切除术转移到了附近的医院。目前还没有其他术后并发症住院。固定设施费的程序是$ 2990，经常一次性项目（长袍，手套，工具，和创可贴的总成本为98美元。平均值或时间为29分钟（标准差13.7）。

Criteria and Benchmarks for Laparoscopic Cholecystectomy in a Free-Standing Ambulatory Center
Authors: Voyles, C. Randle; Boyd, K.B.
Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Volume 3, Number 4, October-December 1999 , pp. 315-318(4)
Publisher: Society of Laparoendoscopic Surgeons

Abstract:
Background and Objectives: Keys to economic survival in an era of decreasing reimbursement include controlling costs and avoiding complications. In an effort to reduce costs, laparoscopic cholecystectomy has been performed with same-day discharge from a hospital setting. The free-standing ambulatory surgery center offers even greater cost savings if safety can be assured. Facility charges, surgical technique and instrument selection influence the costs of the procedure.
Methods: A database was accumulated prospectively on the first 100 laparoscopic cholecystectomies performed in a free-standing ambulatory surgery center to assess costs, logistical constraints, and safety.
Conclusions: The free-standing ambulatory surgery center is an appropriate facility for an experienced operating team to perform laparoscopic cholecystectomy in selected patients. The surgeon's selection of appropriate energy sources and instruments is essential to complete the operation in a most cost-effective manner.
Results: Laparoscopic cholecystectomies were accomplished in 99 of 100 patients. One patient was suspected of having cancer during laparoscopy and was transferred to a nearby hospital for open cholecystectomy. There were no other postoperative hospitalizations for complications. The fixed facility charge for the procedure was $2990, and the total costs for all routinely disposable items (gowns, gloves, instruments, and adhesive bandages was $98. The mean OR time was 29 minutes (standard deviation 13.7).