The cost of ignoring acute cholecystectomy.

Annals of the Royal College of Surgeons of England
J P GarnerK Ravi

Abstract

Biliary symptoms whilst awaiting elective cholecystectomy are common, resulting in hospital admission, further investigation and increased hospital costs. Immediate cholecystectomy during the first admission is safe and effective, even when performed laparoscopically, but acute laparoscopic cholecystectomy has only recently become increasingly commonplace in the UK. This study was designed to quantify this problem in our hospital and its cost implications. The case notes of all patients undergoing laparoscopic cholecystectomy in our hospital between January 2004 and June 2005 were examined for details of hospital admissions with biliary symptoms or complications whilst waiting for elective cholecystectomy. Additional bed occupancy and radiological investigations were recorded and these costs to the trust calculated. We compared the potential tariff income to the hospital trust for the actual management of these patients and if a policy of acute laparoscopic cholecystectomy on first admission were in place. In the 18-month study period, 259 patients (202 females) underwent laparoscopic cholecystectomy. Of these, 147 presented as out-patients and only 11% required hospital admission because of biliary symptoms whilst waiting for ...Continue Reading

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Citations

Jul 10, 2012·Surgical Endoscopy·Amanda JohnerSam M Wiseman
Nov 9, 2017·The British Journal of Surgery·H T MalikE Mossialos
Apr 20, 2010·Journal of the Royal Army Medical Corps·J Morgan, J P Garner
Jun 30, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Alexander SeagerGiuseppe Garcea
Apr 14, 2010·Annals of the Royal College of Surgeons of England·Sue K DownYashwant Koak
Dec 18, 2015·Annals of the Royal College of Surgeons of England·S BokhariS Gould
Oct 10, 2018·ANZ Journal of Surgery·Ronny Gunnarsson, Alan de Costa
Jan 15, 2013·Journal of Perioperative Practice·Khurram SiddiqueSanjoy Basu
May 4, 2017·World Journal of Emergency Surgery : WJES·Patrick B MurphyUNKNOWN Western Ontario Research Collaborative on Acute Care Surgery

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