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Cost comparison between hand-assisted laparoscopic colectomy and open colectomy.
- Source :
-
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2012 Apr; Vol. 22 (3), pp. 209-13. Date of Electronic Publication: 2012 Jan 30. - Publication Year :
- 2012
-
Abstract
- Purpose: Our aim was to compare the costs associated with hand-assisted laparoscopic colectomy (HALC) and open colectomy (OC).<br />Methods: The data of patients who underwent either HALC or OC between March 2009 and August 2010 were retrospectively reviewed. The assessed short-term outcomes included operative time, blood lost, retrieved lymph nodes, conversion rates, and complications. Direct costs of operating room, nursing, intensive care, anesthesia, laboratory, pharmacy, radiology, and other costs related to initial hospitalization were compared.<br />Results: Forty-two patients underwent HALC, whereas 45 underwent OC. Demographics in both groups were similar. The HALC patients had significantly shorter hospital stays and incision lengths, faster recovery of bowel function, and less blood loss (P<.001). There were no significant differences in operative time (169 minutes for HALC versus 171 minutes for OC), complication rates, or the number of retrieved lymph nodes. Although operative costs were higher for HALC (US $2260 versus $1992; P<.001), total costs were not significantly different between both methods (US $5593 vs. $5638; P=.29).<br />Conclusion: Total costs of HALC are not significantly higher compared with OC. HALC is safe and leads to better short-term outcomes than OC.
- Subjects :
- Adult
Aged
Blood Loss, Surgical statistics & numerical data
Chi-Square Distribution
Colectomy methods
Female
Humans
Laparoscopy methods
Length of Stay statistics & numerical data
Male
Middle Aged
Recovery of Function
Retrospective Studies
Statistics, Nonparametric
Time Factors
Treatment Outcome
Colectomy economics
Costs and Cost Analysis
Laparoscopy economics
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9034
- Volume :
- 22
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of laparoendoscopic & advanced surgical techniques. Part A
- Publication Type :
- Academic Journal
- Accession number :
- 22288882
- Full Text :
- https://doi.org/10.1089/lap.2011.0446