Economic outcomes of laparoscopic versus open surgery for colorectal cancer in Korea

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Choi, Yoo Shin; Lee, Sang-Il; Lee, Taek-Gu; Kim, Sung-Wook; Cheon, Guineum; Kang, Sung-Bum
Issue Date
Springer Verlag
Surg Today. 2007;37(2):127-32. Epub 2007 Jan 25.
AdultAgedAged, 80 and overColorectal Neoplasms/economics/*surgeryCost-Benefit AnalysisFemaleHospital Charges/*statistics & numerical dataHumansKoreaLaparoscopy/*economicsLaparotomy/*economicsLength of Stay/economicsMaleMiddle AgedOperating Rooms/economicsRetrospective Studies
PURPOSE: To compare the economic outcomes of laparoscopic surgery (LAP) with those of open surgery (OS) for colorectal cancer. METHODS: We compared operating room (OR) costs, OR hospital-profits, total hospital charges, and payments made for 67 consecutive patients who underwent either OS (n = 41) or LAP (n = 26) for colorectal cancer. RESULTS: The operating time was longer in the LAP group (P < 0.001), but the hospital stay was shorter (P < 0.001). OR costs were higher in the LAP group, which was primarily attributed to the higher costs of consumables (LAP 1441, OS 575 dollars; P < 0.001) and the longer operating time (LAP 215 min, OS 155 min; P < 0.001). Total hospital charges were also higher after LAP (LAP 5017 dollars, OS 4093 dollars; P < 0.001). Patients paid more after LAP (P < 0.001), but there was no significant difference between the two groups in National Health Insurance Corporation payments. CONCLUSION: Laparoscopic surgery is less cost-effective than OS for colorectal cancer. The higher costs of consumables and the longer operating time associated with LAP must be addressed to make LAP more cost-effective.
0941-1291 (Print)
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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