| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○著者 (必須): | 1. | 眞鍋 裕昭 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.感覚·皮膚·運動機能科.整形外科])
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| ○学籍番号 (推奨): | □ | ****
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| 2. | 手束 文威 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])
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| 3. | 山下 一太 ([徳島大学.大学院医歯薬学研究部.医学域.連携研究部門(医学域).寄附講座系(医学域).地域運動器・スポーツ医学])
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| ○学籍番号 (推奨): | □ | ****
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| 4. | (英) Sugiura Kosuke (日) 杉浦 宏祐 (読) すぎうら こうすけ
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| ○学籍番号 (推奨): | □ | ****
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| 5. | 石濱 嘉紘
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| ○学籍番号 (推奨): | □ | ****
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| 6. | 髙田 洋一郎
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| 7. | 酒井 紀典 ([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])
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| 8. | 前田 徹
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| ○学籍番号 (推奨): | □ | ****
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| 9. | 西良 浩一 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])
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| ○題名 (必須): | □ | (英) Operating Costs of Full-endoscopic Lumbar Spine Surgery in Japan. (日)
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| ○要約 (任意): | □ | (英) 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. (日)
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| ○キーワード (推奨): |
| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Neurologia Medico-Chirurgica (日本脳神経外科学会)
(pISSN: 0470-8105, eISSN: 1349-8029)
| ○ISSN (任意): | □ | 1349-8029
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| ○巻 (必須): | □ | 60
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| ○号 (必須): | □ | 1
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| ○頁 (必須): | □ | 26 29
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| ○年月日 (必須): | □ | 西暦 2020年 1月 15日 (令和 2年 1月 15日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2176/nmc.oa.2019-0139 (→Scopusで検索)
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| ○PMID (任意): | □ | 31619601 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) PublicationType: Journal Article (日)
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