[Comparative study of direct cost between open and laparoscopic cholecystectomy].
| Autor: | Salinas-Escudero G; Hospital Infantil de México Federico Gómez, Secretaría de Salud, Distrito Federal, México., Zurita-Saldaña VR, Hernández-Garduño AG, Padilla-Zárate MP, Gutiérrez-Vega R, Sastré N, Bertozzi-Kenefick SM |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2011 Jul-Aug; Vol. 49 (4), pp. 353-60. |
| Abstrakt: | Objective: to compare the direct cost of open cholecystectomy (OCL) with laparoscopic cholecystectomy (LCL), using a microcosting approach. Methods: in patients who underwent cholecystectomy (C) in the Hospital General de Mexico, we collected patient age and sex, time in the operative room (OR), anesthesia and surgical procedure; health personal (HP) involved; materials (M) and medications consumed; medical instruments (MI) and medical equipment (ME) used. Results: there were 355 patients operated by C, were 248 included, 94 with CAB and 74 with CLP. CAB surgical time was longer than CLP (102 versus 82, p<0.00.1); CLP had a higher use of materials intraoperative ($5 329 versus $1 403, p<0.001). There are no differences in: cost for HP, MI and ME. The total direct cost was $7238 (US$615) for CAB and $12 507 (US$1 063) for CLP (p <0.001) at 11.76 Mexican pesos per dollar. Conclusions: the difference in costs between OCL and LCL is primarily explained by the cost of lab exams which represent 79% of the M cost for CLP. |
| Databáze: | MEDLINE |
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