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Economic outcomes of laparoscopic versus open surgery for colorectal cancer in Korea
Cited 14 time in
Web of Science
Cited 16 time in Scopus
- Authors
- Issue Date
- 2007-01-24
- Publisher
- Springer Verlag
- Citation
- Surg Today. 2007;37(2):127-32. Epub 2007 Jan 25.
- Keywords
- Adult ; Aged ; Aged, 80 and over ; Colorectal Neoplasms/economics/*surgery ; Cost-Benefit Analysis ; Female ; Hospital Charges/*statistics & numerical data ; Humans ; Korea ; Laparoscopy/*economics ; Laparotomy/*economics ; Length of Stay/economics ; Male ; Middle Aged ; Operating Rooms/economics ; Retrospective Studies
- Abstract
- 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.
- ISSN
- 0941-1291 (Print)
- Language
- English
- URI
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17243031
https://hdl.handle.net/10371/13268
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