| Item type |
文献 / Documents(1) |
| 公開日 |
2024-04-05 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
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|
関連識別子 |
https://doi.org/10.2176/nmc.oa.2019-0139 |
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|
関連名称 |
10.2176/nmc.oa.2019-0139 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
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|
タイトル |
Operating Costs of Full-endoscopic Lumbar Spine Surgery in Japan |
| タイトル別表記 |
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その他のタイトル |
Operating Costs of Full-endoscopic Spine Surgery |
| 著者 |
眞鍋, 裕昭
手束, 文威
山下, 一太
杉浦, 宏祐
石濱, 嘉紘
髙田, 洋一郎
酒井, 紀典
前田, 徹
西良, 浩一
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| 抄録 |
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内容記述 |
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. |
| キーワード |
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|
主題 |
operating cost |
| キーワード |
|
|
主題 |
full-endoscopic surgery |
| キーワード |
|
|
主題 |
lumbar disc herniation |
| 書誌情報 |
en : Neurologia Medico-Chirurgica
巻 60,
号 1,
p. 26-29,
発行日 2020
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
04708105 |
| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13498029 |
| 収録物ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00358613 |
| 出版者 |
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|
出版者 |
The Japan Neurosurgical Society |
| 権利情報 |
|
|
権利情報 |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License. |
| EID |
|
|
識別子 |
362099 |
| 言語 |
|
|
言語 |
eng |
nmc_60_1_26.pdf (562 KB)
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