【 文献重点摘要 】
 

Background: In 2006, a Centers for Medicare and Medicaid Services-accredited multidisciplinary academic ambulatory surgery center was established with the goal of delivering high-quality, efficient reconstructive, and cosmetic services in an academic setting. We review our decade-long experience since its establishment.

Methods: Clinical and financial data from 2006 to 2016 are reviewed. All cosmetic procedures, including both minimally invasive and operative cases, are included. Data are compared to nationally published reports.

Results: Nearly 3,500 cosmetic surgeries and 10,000 minimally invasive procedures were performed. Compared with national averages, surgical volume in abdominoplasty is high, whereas rhinoplasty and breast augmentation is low. Regarding trend data, breast augmentation volume has decreased by 25%, whereas minimally invasive procedural volume continues to grow and is comparable with national reports. Similarly, where surgical revenue remains steady, minimally invasive revenue has increased significantly. The majority of surgical cases (70%) are reconstructive in nature and insurance-based. Payer mix is 71% private insurance, 18% Medicare and Medicaid, and 11% self-pay. Despite year-over-year revenue increases, net profit in 2015 was $6,120. Rent and anesthesia costs exceed national averages, and employee salary and wages are the highest expenditure.

Conclusion: Although the creation of our academic cosmetic ambulatory surgery center has greatly increased the overall volume of cosmetic surgery performed at the University of Wisconsin, the majority of surgical volume and revenue is reconstructive. As is seen nationwide, minimally invasive cosmetic procedures represent our most rapidly expanding revenue stream.

背景：2006年，医疗保险和医疗补助服务中心(Centers For Medicare And Medicaid Services)成立了一个经认证的多学科学术门诊手术中心，目标是在学术环境中提供高质量、高效的重建和整容服务。我们回顾了它成立以来十年的经验。

方法：回顾2006~2016年的临床和财务资料。所有的整容手术，包括微创和手术，都包括在内。将数据与全国发布的报告进行比较。

结果：共进行了近3500例整形手术和10000例微创手术。与全国平均水平相比，腹部整形术的手术量较高，而隆鼻和隆胸的手术量较低。关于趋势数据，隆胸数量减少了25%，而微创手术数量继续增长，与国家报告相当。同样，在手术收入保持稳定的地方，微创收入显著增加。大多数手术病例(70%)是重建性质的，并以保险为基础。支付者组合是71%的私人保险，18%的医疗保险和医疗补助，11%的自费。尽管收入同比增长，但2015年的净利润为6120美元。租金和麻醉费用超过全国平均水平，员工工资和工资是最高的支出。

结论：虽然我们学术美容门诊手术中心的建立极大地增加了威斯康星大学的整容手术总量，但大部分手术数量和收入都是重建的。正如在全国范围内看到的那样，微创整容手术是我们最迅速增长的收入来源。