Laparoscopy may offer fast recovery and improved cosmesis, but its cost has been perceived as excessive.
To analyze the total hospital costs of laparoscopy vs open surgery.
Retrospective cost-effectiveness analysis evaluating all cases performed in a 36-month period (September 1995 to August 1998).
Cases were evaluated for operative time, itemized cost of supplies, and length of hospitalization.
Operations performed by pediatric surgeons in a tertiary care children's hospital.
Consecutive children undergoing laparoscopic or open appendectomies, cholecystectomies, fundoplications, and splenectomies.
Patients were not randomized to laparoscopy or open surgery.
Laparoscopic procedures performed with a core set of reusable equipment and a limited number of disposable instruments.
Cost surplus of laparoscopy was evaluated, and compared with savings associated with decreased hospital stay, to obtain cost-effectiveness of laparoscopy per procedure.
There were 26 laparoscopic and 359 open appendectomies ; 33 laparoscopic and 3 open cholecystectomies ; 16 laparoscopic and 18 open fundoplications ; and 16 laparoscopic and 7 open splenectomies.
Excess operating costs per procedure were $442.00 for appendectomy, $634.60 for fundoplication, $847.50 for cholecystectomy, and $1551.30 for splenectomy. (...)
Mots-clés Pascal : Chirurgie, Enfant, Homme, Technique, Laparoscopie, Analyse coût efficacité, Economie santé, Durée, Intervention, Hospitalisation, Etats Unis, Amérique du Nord, Amérique, Evaluation
Mots-clés Pascal anglais : Surgery, Child, Human, Technique, Laparoscopy, Cost efficiency analysis, Health economy, Duration, Operation, Hospitalization, United States, North America, America, Evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0491272
Code Inist : 002B25N. Création : 22/03/2000.