Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time

The American Surgeon
Alexander M DeMareNathan M Novotny

Abstract

Surgeons can help reduce health care spending by selecting affordable and efficient instruments. The laparoscopic appendectomy (LA) is commonly performed and can serve as a model for improving health care cost. We retrospectively reviewed all adult patients who underwent LA for non-perforated appendicitis from March 2015 to November 2017. Our objective was to determine which combination of disposable instruments afforded the lowest total operative cost without compromising postoperative outcomes. In total, 1857 consecutive patients were reviewed from 2 hospitals. After determining the 8 most commonly utilized combinations of disposable instruments, 846 patients were ultimately analyzed. The combination of a LigaSure, Endoloop, and an EndoBag (LEB) had the shortest median operative time (25 minutes, P < .001) and lowest median total operative cost ($1893, P < .001). The LEB instrument combination rendered the shortest operative time, lowest total operative cost, and can be used to maximize surgical value during LA.

References

Dec 2, 2008·Journal of Pediatric Surgery·Shawn D St PeterDaniel J Ostlie
Jan 8, 2010·Annals of Surgery·Eric MuñozLeslie Wise
Sep 14, 2010·Surgical Endoscopy·Thomas ChuSteven D Schwaitzberg
Nov 5, 2013·World Journal of Emergency Surgery : WJES·David Costa-NavarroAzahara Illán-Riquelme
Mar 26, 2015·Journal of Pediatric Surgery·David E SkardaEric Scaife
Oct 9, 2015·Diseases of the Colon and Rectum·Michael J GuzmanJoseph P Muldoon
Oct 27, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Emily E AbbottNathan M Novotny
Jan 4, 2019·Surgical Endoscopy·Richard HilsdenChristopher M Schlachta

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Citations

Jun 12, 2021·Cost Effectiveness and Resource Allocation : C/E·César Augusto Guevara-CuellarElizabeth Parody-Rúa
Oct 2, 2021·Veterinary Surgery : VS·Nicole J BuoteJulia Sumner

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