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Title: Is laparoscopic colectomy as cost beneficial as open colectomy?
Authors: Shabbir, A.
Roslani, A.C.
Wong, K.-S. 
Tsang, C.B.S. 
Wong, H.-B.
Cheong, W.-K.
Keywords: Colectomy
Costs and cost analysis
Treatment outcome
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.
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
ISSN: 14451433
DOI: 10.1111/j.1445-2197.2009.04857.x
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