Laparoskopik ve Açık Yöntemle Yapılan Akut Apandisitlerde SGK Ödemelerinin Karşılaştırılması

Yıl 2014, Cilt: 15 Sayı: 2, 106 - 109, 01.08.2014

Ahmet Ali Tuncer Didem Baskin Embleton Hanife Üzel Evrim Özkaraca Boyacı Serdar Mıngır Altınay Bayraktaroğlu

Öz

Objective: In our study we aimed to compare open and laparoscopic appendectomy techniques in terms of the parameters affecting the cost, such as duration of hospitalization, complications. Material and Methods: Patients with acute appendicitis who underwent surgery in a university hospital with the use of either the open or the laparoscopic operational techniques were compared retrospectively with regard to such parameters as age, sex, duration of hospitalization, antibiotic use and postoperative complications and a cost analysis was performed. Results: A group of 6 cases of acute appendicitis operated using the open technique was compared with a group of 6 cases of acute appendicitis treated using the laparoscopic technique. The average cost of the cases operated using the open technique was 676,0 TL, and that for the cases in which the laparoscopic technique was used was 753,0 TL. Whilst a financial loss was incurred for each of the 6 patients operated using the open technique, there were no financial losses in the laparoscopic technique group except for the one patient in who developed a non-regressing post-operative abdominal pain requiring advanced investigation. Conclusion: Although the groups are small, in terms of cost analysis, postoperative complications and duration of hospitalization, both open and laparoscopic techniques produced similar results. In this case the surgeon's medical decision, in suitable cases, to use the laparoscopic technique, for which the MAD payment is higher, will protect the management of the hospital and thus the responsible surgeon from possible financial losses

Anahtar Kelimeler

Acute appendicitis; laparoscopy; SSI; cost analysis

Laparoskopik ve Açık Yöntemle Yapılan Akut Apandisitlerde SGK Ödemelerinin Karşılaştırılması

Öz

Amaç: Çalışmamızda hastanede yatış süresi, antibiyotik kullanımı, postoperatif komplikasyonlar gibi maliyeti etkileyen parametreler açısından açık ve laparoskopik teknikle yapılan apendektomilerin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Üniversite hastanesinde açık ve laparoskopik teknikle opere edilen akut apandisitler retrospektif olarak yaş, cins, hastanede yatış süresi, antibiyotik kullanımı, postoperatif komplikasyonlar gibi parametreler açısından karşılaştırılmış ve maliyet analizleri yapılmıştır. Bulgular: Altı açık, 6 laparoskopik teknikle ameliyat edilen akut apandisit olgusu karşılaştırıldı. Açık teknikle yapılan vakaların laparoskopik teknikle yapılan vakaların ortalama maliyetinin maliyetinin

Anahtar Kelimeler

Akut apandisit; laparoskopi; SGK; maliyet analizi

Kaynakça

• http://www.sgk.gov.tr/wps/Portal/tr/Mevzuat/Yur
• urlukteki_Mevzuat/Tebligler Erişim: 28.02.2013
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