影响肺癌手术住院费用和快速康复的临床因素分析

BACKGROUND AND OBJECTIVE: It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the influencing factor of postoperative fast-track recovery and in hospital cost after undergoing lobectomy for lung cancer. METHODS: We retrospectively reviewed the medical records of all patients (n=176) who underwent lobectomy for lung cancer between January 2010 and November 2011 by a thoracic surgeon. RESULTS: The hospital costs of video-assisted thoracic surgery (VATS) lobectomy (47, 308.21 ¥) is significantly higher than open lobectomy (45, 664.31 ¥)(P=0.007). The hospital costs of body mass index (BMI) ≥ 24 kg/m(2) (51, 186.99 ¥) is significantly higher than BMI < 24 kg/m(2) (41, 701.64 ¥)(P=0.032). The hospital stay of VATS lobectomy (5.70 d) is significantly less than open lobectomy (7.10 d)(P < 0.001). CONCLUSION: These findings indicate that preoperative pulmonary rehabilitation and VATS lobectomy is contributed to fast-track recovery for patients who undergo lobectomy, but increase the hospital costs.