PMID: 8943184Jan 1, 1997Paper

Clinical and financial aspects of cholecystectomy: laparoscopic versus open technique

World Journal of Surgery
H P StevensJ C Wereldsma

Abstract

Clinical and financial aspects of laparoscopic (LC) (n = 119) and open (OC) (n = 117) cholecystectomy are compared in a retrospective study. The number and nature of perioperative complications do not differ importantly between these techniques. In favor of LC, significant differences are observed regarding the numbers of days severe pain was suffered (mean 1.7 days versus 5.4 days), the total number of days pain was suffered (mean 7.0 days versus 12.2 days), the number of postoperative days in hospital (mean 3.1 days versus 8. 8 days), the extent of perioperative monitoring performed, and the number of days before patients could return to (every day) work (mean 12.8 days versus 34.8 days). In this study total charges for LC (hospital and professional charges) are significantly lower than the total charges for OC [means, in dutch guilders (DG) were 4425 for LC versus 9215 for OC; $1 US = 1.93 DG]. The difference is the result of fewer days of postoperative hospitalization and reduced perioperative screening for LC. Furthermore, hospital charges for LC in The Netherlands (DG 3655) are less expensive than average hospital charges reported so far (US $1894 compared to $4948). For the hospital itself, however, on an annual base LC ...Continue Reading

Citations

Feb 1, 2000·Surgical Endoscopy·P L LeggettG Miller
Oct 23, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A Kessaf AslarMahmut Koc
Apr 12, 2002·American Journal of Surgery·Atul K MadanSteven M Steinberg
Sep 28, 2015·The Veterinary Clinics of North America. Small Animal Practice·Makoto Asakawa
Nov 16, 2002·American Journal of Surgery·Hashim U AhmedFrank E Johnson
Jul 29, 2008·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Candace GunnarssonLouis Hochheiser

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