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  1. Cost-effectiveness of laparoscopy in children.

    Article - En anglais


    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.

    Main Outcome Measures 

    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

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

    Cote : 99-0491272

    Code Inist : 002B25N. Création : 22/03/2000.