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  1. A contemporaneous comparison of hospital charges for laparoscopic and open Nissen fundoplication. Commentary. Discussion.

    Article, Communication - En anglais

    Society of American Gastrointestinal Endoscopic Surgeon. Annual Meeting. Nashville TN USA, 1994/04/18.


    Surgical treatment of gastroesophageal reflux disease is increasingly recognized as a costeffective alternative to long-term medical therapy.

    This fact, coupled with the advent of laparoscopic fundoplication as a safe and efficacious alternative to open surgery, underscores the importance of determining the costs associated with laparoscopic treatment.

    Hospital costs and charges of patients undergoing open (N=9) and laparoscopic (N=11) fundoplication were retrospectively analyzed.

    Both procedures were performed during the same time period (6/91-6/93), at the same hospital, and by the same surgical team.

    Operative time, and hospital stay, were recorded in addition to total, operating room, anesthesia, sterile supplies, and hospital room charges.

    Figures are reported as mean values ± standard error of the mean.

    The Wilcoxon signed rank test was used for comparison of groups.

    Operative time (221 ± 18 vs 165 ± 12 min, P=0.033) was longer in the laparoscopic group, while hospital stay (5.8 ± 02 vs 8.8 ± 04 days, P<0.001) was significantly shorter.

    Total hospital costs were similar for both groups of patients ($14,615 ± 863 vs $15,891 ± 921, P=0.247).

    Overall hospital charges were nearly identical ($26,634 ± 1376 vs $27,189 ± 1753, P=0.803).

    Mots-clés Pascal : Reflux gastrooesophagien, Traitement, Chirurgie, Plicature, Fundus estomac, Laparoscopie, Intervention Nissen, Analyse coût, Etude comparative, Homme, Oesophage pathologie, Estomac pathologie, Appareil digestif pathologie

    Mots-clés Pascal anglais : Gastroesophageal reflux, Treatment, Surgery, Plication, Gastric fundus, Laparoscopy, Nissen operation, Cost analysis, Comparative study, Human, Esophageal disease, Gastric disease, Digestive diseases

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

    Cote : 95-0216024

    Code Inist : 002B25G02. Création : 09/06/1995.