Evaluation of Surgeon -Specific Diagnosis Procedure Combination for Laparoscopic Cholecystectomy

Abstract

We examined the effect of differences between surgeons on the Diagnosis Procedure Combination (DPC) for laparoscopic cholecystectomy (LC). The surgeons were divided into certified JBA supervisors (gS), advanced skills JSHBPS supervisors, and residents (gR). The postoperative courses did not show any differences that would affect DPC between groups. Hospital expenses were 53,395 p, which was 1,600 p lower than the 54,983 p using conventional calculation of volume instead of DPC. The medical expenses incurred by the gR increased to 54,033 p. The DPC calculation for the gS showed a decrease of 10 p compared with that for the gR, but the volume showed a decrease of 628 p as the primary reason. It was thought that the increase in the anesthetic fee depended on the longer operative time associated with the gR. The DPC for LC reimburses differently according to the category of the surgeon.