Please use this identifier to cite or link to this item:
https://doi.org/10.1111/j.1445-2197.2009.04857.x
DC Field | Value | |
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dc.title | Is laparoscopic colectomy as cost beneficial as open colectomy? | |
dc.contributor.author | Shabbir, A. | |
dc.contributor.author | Roslani, A.C. | |
dc.contributor.author | Wong, K.-S. | |
dc.contributor.author | Tsang, C.B.S. | |
dc.contributor.author | Wong, H.-B. | |
dc.contributor.author | Cheong, W.-K. | |
dc.date.accessioned | 2016-12-19T06:50:03Z | |
dc.date.available | 2016-12-19T06:50:03Z | |
dc.date.issued | 2009-04 | |
dc.identifier.citation | Shabbir, A., Roslani, A.C., Wong, K.-S., Tsang, C.B.S., Wong, H.-B., Cheong, W.-K. (2009-04). Is laparoscopic colectomy as cost beneficial as open colectomy?. ANZ Journal of Surgery 79 (4) : 265-270. ScholarBank@NUS Repository. https://doi.org/10.1111/j.1445-2197.2009.04857.x | |
dc.identifier.issn | 14451433 | |
dc.identifier.uri | http://scholarbank.nus.edu.sg/handle/10635/133365 | |
dc.description.abstract | Background Laparoscopic colectomy has yet to gain widespread acceptance in cost-conscious health-care institutions. The aim of the present study was to define the cost-benefit relationship of laparoscopic versus open colectomy. Methods Thirty-two consecutive patients undergoing elective laparoscopic colectomy (LC) by a single colorectal surgeon between August 2004 and September 2005 were reviewed. Cases were matched with a historical cohort undergoing elective open colectomy (OC) between June 2003 and July 2004. Demography, perioperative data, histopathology and cost were compared. Results Both groups had similar demographics. Most resections (90.6%) were for cancer. Operative time was significantly longer for LC compared to OC (180 min vs 110 min, P < 0.001). Four patients (12.5%) in the LC group required conversion. LC patients, however, had lower median pain scores (3, 2 and 1 vs 6, 4 and 2 at 24, 48 and 72 h postoperatively, P < 0.001), faster resolution of ileus (3 vs 4 days, P < 0.001) and earlier discharge (6 vs 9 days, P < 0.001) compared to the OC group. As a result, overall hospital cost for both procedures was not significantly different (US$7943 vs US$7253, P = 0.41). Conclusion Laparoscopic colectomy is as cost-beneficial in the short term as open colectomy. © 2009 Royal Australasian College of Surgeons. | |
dc.description.uri | http://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1111/j.1445-2197.2009.04857.x | |
dc.source | Scopus | |
dc.subject | Colectomy | |
dc.subject | Costs and cost analysis | |
dc.subject | Devices | |
dc.subject | Laparoscopy | |
dc.subject | Treatment outcome | |
dc.type | Article | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.1111/j.1445-2197.2009.04857.x | |
dc.description.sourcetitle | ANZ Journal of Surgery | |
dc.description.volume | 79 | |
dc.description.issue | 4 | |
dc.description.page | 265-270 | |
dc.description.coden | AJSNB | |
dc.identifier.isiut | 000265406200013 | |
Appears in Collections: | Staff Publications |
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