Assessment of the financial implications for laparoscopic liver surgery: a single-centre UK cost analysis for minor and major hepatectomy
| Autor: | Eleonora Dimovska, Mohammed Abu Hilal, Shareef Syed, Neil W. Pearce, John N. Primrose, David A. Turner, Francesco Di Fabio, Robert David Wiltshire |
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| Rok vydání: | 2012 |
| Předmět: |
Liver surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Operative Time Postoperative Complications medicine Hepatectomy Humans Laparoscopy health care economics and organizations Aged Retrospective Studies Finance Aged 80 and over medicine.diagnostic_test business.industry General surgery Middle Aged United Kingdom Surgery Hospitalization Single centre Cost analysis Costs and Cost Analysis Female Complication business Major hepatectomy Abdominal surgery |
| Zdroj: | Surgical endoscopy. 27(7) |
| ISSN: | 1432-2218 |
| Popis: | Laparoscopic hepatectomy is progressively gaining popularity. However, it is still unclear whether the laparoscopic approach offers cost advantages compared with the open approach, especially when major hepatectomies are required. Data providing useful insights into the costs of the laparoscopic approach for clinicians and hospitals are needed. The aim of this study is to assess the financial implications of the laparoscopic approach for two standardized minor and major hepatectomies: left lateral sectionectomy and right hepatectomy. A cost comparison analysis of patients undergoing laparoscopic right hepatectomy (LRH) and laparoscopic left lateral sectionectomy (LLLS) versus the open counterparts was performed. Data considered for the comparison analysis were operative costs (theatre cost, consumables and surgeon/anaesthetic labour cost), postoperative costs (hospital stay, complication management and readmissions) and overall costs. A total of 149 patients were included: 38 patients underwent LRH and 46 open right hepatectomy (ORH); 46 patients underwent LLLS and 19 open left lateral sectionectomy (OLLS). For LRH the mean operative, postoperative and overall costs were £10,181, £4,037 and £14,218; for ORH the mean operative, postoperative and overall costs were £6,483 (p |
| Databáze: | OpenAIRE |
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