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  1. Laparoscopic cholecystectomy-related bile duct injuries : A health and financial disaster.

    Article - En anglais

    Objective This study was designed to evaluate the total costs associated with repair of laparoscopic cholecystectomy (LC) - related bile duct injuries.

    Background Data The popularity of LC with both patients and surgeons is such that this procedure now exceeds open cholecystectomy by a ratio of approximately 4 to 10 : 1. However, costs associated with LC-related injuries, particularly regarding treatment patterns, have up to now not been explored fully.

    Methods The complete hospital and interventional radiology (IR) billing records for 49 patients who have completed treatment for laparoscopic cholecystectomy-related bile duct injuries were divided into 8 categories.

    These records were totaled for comparison of costs between patient groups that experienced different injuries and treatment patterns.

    Results Patients with LC-related bile duct injuries were billed a mean of $51,411 for all care related to repair of their bile duct injury.

    Patients incurred an average of 32 days of inpatient hospitalization and 10 outpatient care days.

    Postoperative treatment included long-term chronic biliary intubation averaging 378 days.

    Two patients (4%) died as a result of their LC-related complications.

    Patients with bile duct injuries that were recognized immediately at the time of the initial surgery ultimately experienced a total cost for their repair and hospitalization of 43% to 83% less than for patients in whom recognition of the injury was delayed (p<0.019 to 0.070). (...)

    Mots-clés Pascal : Cholécystectomie, Laparoscopie, Complication, Iatrogène, Lésion, Voie biliaire, Incidence, Analyse coût, Homme, Vésicule biliaire, Chirurgie, Appareil digestif pathologie, Voie biliaire pathologie, Economie santé

    Mots-clés Pascal anglais : Cholecystectomy, Laparoscopy, Complication, Iatrogenic, Lesion, Biliary tract, Incidence, Cost analysis, Human, Gallbladder, Surgery, Digestive diseases, Biliary tract disease, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0219939

    Code Inist : 002B25G03. Création : 21/05/1997.