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Open Colectomy (open + colectomy)

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Medical Sciences100%

Selected Abstracts

Is laparoscopic colectomy as cost beneficial as open colectomy?

ANZ JOURNAL OF SURGERY, Issue 4 2009
Asim Shabbir
Abstract Background:, Laparoscopic colectomy has yet to gain widespread acceptance in cost-conscious health-care institutions. The aim of the present study was to define the cost,benefit relationship of laparoscopic versus open colectomy. Methods:, Thirty-two consecutive patients undergoing elective laparoscopic colectomy (LC) by a single colorectal surgeon between August 2004 and September 2005 were reviewed. Cases were matched with a historical cohort undergoing elective open colectomy (OC) between June 2003 and July 2004. Demography, perioperative data, histopathology and cost were compared. Results:, Both groups had similar demographics. Most resections (90.6%) were for cancer. Operative time was significantly longer for LC compared to OC (180 min vs 110 min, P < 0.001). Four patients (12.5%) in the LC group required conversion. LC patients, however, had lower median pain scores (3, 2 and 1 vs 6, 4 and 2 at 24, 48 and 72 h postoperatively, P < 0.001), faster resolution of ileus (3 vs 4 days, P < 0.001) and earlier discharge (6 vs 9 days, P < 0.001) compared to the OC group. As a result, overall hospital cost for both procedures was not significantly different (US$7943 vs US$7253, P = 0.41). Conclusion:, Laparoscopic colectomy is as cost-beneficial in the short term as open colectomy. [source]

Letter 1: French multicentre prospective observational study of laparoscopic versus open colectomy for sigmoid diverticular disease (Br J Surg 2005; 92: 1520,1525)

BRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 4 2006
T. Salem
No abstract is available for this article. [source]

Letter 2: French multicentre prospective observational study of laparoscopic versus open colectomy for sigmoid diverticular disease (Br J Surg 2005; 92: 1520,1525)

BRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 4 2006
T. Ramalingam
No abstract is available for this article. [source]

Perspective on ,is laparoscopic colectomy as cost-beneficial as open colectomy'

ANZ JOURNAL OF SURGERY, Issue 4 2009
FRCS (Gen), Henry Dowson BSc, MB BS
No abstract is available for this article. [source]