ID | 119184 |
Title Alternative | Operating Costs of Full-endoscopic Spine Surgery
|
Author |
Sugiura, Kosuke
Tokushima University
Tokushima University Educator and Researcher Directory
KAKEN Search Researchers
Ishihama, Yoshihiro
Tokushima University
Sakai, Toshinori
Tokushima University
Tokushima University Educator and Researcher Directory
KAKEN Search Researchers
Maeda, Toru
Tokushima University
Sairyo, Koichi
Tokushima University
Tokushima University Educator and Researcher Directory
KAKEN Search Researchers
|
Keywords | operating cost
full-endoscopic surgery
lumbar disc herniation
|
Content Type |
Journal Article
|
Description | For full-endoscopic lumbar discectomy, operating costs are also important because expensive equipment are necessary. We surveyed the operating costs of surgical equipment necessary for full-endoscopic surgery together with surgical procedure reimbursement fees. A total of 295 cases of full-endoscopic surgery via a transforaminal approach were retrospectively analyzed. We calculated the frequency of damage and the unit purchase price of devices such as endoscopes, and surgical instruments such as grasping forceps for nucleotomy, high-speed drill bar, and bipolar forceps, and examined the operating costs in Japanese yen against the procedure fee per case. Endoscope breakage occurred seven times, and a payment of ¥760,000 was necessary for trade-in and purchase of a new endoscope. The total breakage number of grasping forceps was 58, and the purchase price per unit was ¥116,000. Therefore, a total of ¥12,020,000 was required for the 295 cases, and the calculated operating cost that accompanies equipment breakage was ¥40,000 per case. In addition, about ¥118,000 was required for disposable bipolar forceps and high-speed drill bar to be used intraoperatively for each case. Thus, for one case it is calculated that total ¥158,000 is utilized for equipment from the surgical reimbursement fee per case specified by the Japanese Ministry of Health being ¥303,900. Minimally invasive procedures provide great benefit to patients; however, the eventual contribution to hospital profits is small and may not be sufficient. To resolve this issue, the cost of surgical equipment should be lowered and/or the surgical reimbursement fee of the full-endoscopic surgery should be raised.
|
Journal Title |
Neurologia Medico-Chirurgica
|
ISSN | 04708105
13498029
|
NCID | AN00358613
|
Publisher | The Japan Neurosurgical Society
|
Volume | 60
|
Issue | 1
|
Start Page | 26
|
End Page | 29
|
Published Date | 2020
|
Rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License(https://creativecommons.org/licenses/by-nc-nd/4.0/).
|
EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
|
TextVersion |
Publisher
|
departments |
University Hospital
Medical Sciences
|