PMID: 1535807Jun 11, 1992Paper

A comparison of outcome and cost of open vs. laparoscopic cholecystectomy

Journal of Laparoendoscopic Surgery
R C McIntyreM M Cohen

Abstract

One hundred elective completed laparoscopic cholecystectomies performed during the period July 1990 to June 1991 were prospectively analyzed for age, sex, and the study variables. A control group of 100 age- and sex-matched patients undergoing elective open cholecystectomy in the year prior to the advent of laparoscopic cholecystectomy was retrospectively analyzed. Both groups were comparable with regard to height, weight, severity of disease, and co-morbidity. The mean operative time for the laparoscopic cholecystectomy group was 107 min vs. 72 min for the open cholecystectomy group. Other significant differences included the use of cholangiography (24% vs. 93%), placement of drains (4% vs. 27%), and morbidity (3% vs. 7%). There was no mortality in either group. The mean length of hospital stay was 1.6 days for the laparoscopic cholecystectomy group vs. 4.8 days in the open cholecystectomy group. The resultant difference in hospital charges to the patient favored laparoscopic cholecystectomy with a mean charge of $6471 vs. $8896 for the open cholecystectomy group. The results of this study support the conclusions that laparoscopic cholecystectomy is a safe and effective alternative to open cholecystectomy and results in a sign...Continue Reading

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Citations

Dec 1, 1993·Health Economics·A Cuschieri
Jul 1, 1994·Surgical Endoscopy·B V MacFadyen, S Lenz
Feb 1, 1997·World Journal of Surgery·B M PhilipsonE Bagge
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Norman Oneil Machado
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Apr 1, 1993·American Journal of Surgery·C R Voyles
Jul 1, 1994·Journal of Pediatric Surgery·G W HolcombJ B Pietsch
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ayhan Keskin
Oct 23, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A Kessaf AslarMahmut Koc
Feb 28, 2002·The American Journal of Gastroenterology·Steven L ZacksRobert S Brown
Dec 1, 1995·Journal of Laparoendoscopic Surgery·G G Kuster, S B Gilroy
Apr 1, 1993·Journal of Laparoendoscopic Surgery·M M Cohen, K Dangleis
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May 1, 1993·The British Journal of Surgery·I M Macintyre, R G Wilson

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