“開腹手術”與“腹腔鏡手術”切除子宮肌瘤之成效比較－以某醫學中心爲例

Uterine myoma is the most common type of tumor [in OR affecting OR involving] the pelvic cavity, and is the second most common tumor in patients undergoing gynecology surgery. This investigation thus compares outcomes between ”open myomectomy” and ”laparoscopic myomectomy” with regard to uterine myoma removal. With limited medical resources, understanding of the quality and costs of different survey options can provide a reference for patients and hospital administrators in making related decisions for ”open myomectomy” and ”laparoscopic myomectomy”.
The data sources used in this study comprise health insurance report data files and charts for a medical center in Taipei city. The data comprises 438 cases of ”open myomectomy” presenting at the sample hospital from January 2006 to December 2007]. Operating time, anesthetic time, length of stay, and intra-operative blood loss between both types of myomectomy are analyzed and compared via t-test. Multiple regression analysis is then conducted to examine the predictive factors that influencethe costs and outcomes of both types of surgery.
Conclusions: From the hospital perspective, The results indicate that laparoscopic myomectomy is less costly and more beneficial treatment strategy than open myomectomy.