Please use this identifier to cite or link to this item:
|Title:||Is laparoscopic colectomy as cost beneficial as open colectomy?||Authors:||Shabbir, A.
Costs and cost analysis
|Issue Date:||Apr-2009||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||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.||Source Title:||ANZ Journal of Surgery||URI:||http://scholarbank.nus.edu.sg/handle/10635/133365||ISSN:||14451433||DOI:||10.1111/j.1445-2197.2009.04857.x|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on Aug 20, 2019
WEB OF SCIENCETM
checked on Aug 12, 2019
checked on Aug 16, 2019
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.