Please use this identifier to cite or link to this item: https://doi.org/10.1111/j.1445-2197.2009.04857.x
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dc.titleIs laparoscopic colectomy as cost beneficial as open colectomy?
dc.contributor.authorShabbir, A.
dc.contributor.authorRoslani, A.C.
dc.contributor.authorWong, K.-S.
dc.contributor.authorTsang, C.B.S.
dc.contributor.authorWong, H.-B.
dc.contributor.authorCheong, W.-K.
dc.date.accessioned2016-12-19T06:50:03Z
dc.date.available2016-12-19T06:50:03Z
dc.date.issued2009-04
dc.identifier.citationShabbir, 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.issn14451433
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/133365
dc.description.abstractBackground 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.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1111/j.1445-2197.2009.04857.x
dc.sourceScopus
dc.subjectColectomy
dc.subjectCosts and cost analysis
dc.subjectDevices
dc.subjectLaparoscopy
dc.subjectTreatment outcome
dc.typeArticle
dc.contributor.departmentSURGERY
dc.description.doi10.1111/j.1445-2197.2009.04857.x
dc.description.sourcetitleANZ Journal of Surgery
dc.description.volume79
dc.description.issue4
dc.description.page265-270
dc.description.codenAJSNB
dc.identifier.isiut000265406200013
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