PMID- 11677417
OWN - NLM
STAT- MEDLINE
DCOM- 20020225
LR  - 20220310
IS  - 0031-0808 (Print)
IS  - 0031-0808 (Linking)
VI  - 43
IP  - 4
DP  - 2001 Dec
TI  - Laparoscopic versus open cholecystectomy. An analysis of clinical and financial 
      aspects.
PG  - 239-42
AB  - BACKGROUND: The aim of this study is to assess the clinical and financial aspects 
      of laparoscopic cholecystectomy (LC) compared to open cholecystectomy (OC). 
      METHODS: Thirty-six patients treated with LC were prospectively, not randomized, 
      compared with 35 patients that underwent OC. The data used were taken from local 
      registers, patient-statistics and hospital accounting systems. We evaluated the 
      costs, morbidity and mortality for both surgical procedures. RESULTS: Significant 
      differences were observed concerning the number of days that pain was suffered 
      (mean 7.6 days in LC versus 18.5 days in OC), the duration of postoperative 
      hospitalization (LC mean 2-3 days; OC 7-9 days), the extent of postoperative 
      monitoring performed, and the number of days in order to return to normal 
      activity (mean 4.4 days in LC; mean 7.6 days in OC). Calculation of the costs was 
      based on the Diagnosis Related Groups (DRG). The profit for a DRG is the result 
      of the difference between the reimbursement obtained from the execution of the 
      operation and the cost in order to carry it out. The total cost for the execution 
      of LC is Italian 3,332,632 pound sterling with a profit of Italian 1,208,807 
      pound sterling while for OC the cost is 4,007,359 pound sterling and the profit 
      is 347,041 pound sterling. CONCLUSIONS: The results of our study is that, 
      clinically and financially, LC has obvious advantages over OC.
FAU - Schietroma, M
AU  - Schietroma M
AD  - Chair of Geriatric Surgery, Department of Surgical Sciences, University of 
      L'Aquila, L'Aquila, Italy.
FAU - Carlei, F
AU  - Carlei F
FAU - Liakos, C
AU  - Liakos C
FAU - Rossi, M
AU  - Rossi M
FAU - Carloni, A
AU  - Carloni A
FAU - Enang, G N
AU  - Enang GN
FAU - Pistoia, M A
AU  - Pistoia MA
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Italy
TA  - Panminerva Med
JT  - Panminerva medica
JID - 0421110
SB  - IM
CIN - Panminerva Med. 2001 Dec;43(4):227-8. PMID: 11677414
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cholecystectomy/adverse effects/*economics/*methods
MH  - Cholecystectomy, Laparoscopic/adverse effects/economics
MH  - Cholelithiasis/surgery
MH  - Costs and Cost Analysis
MH  - Female
MH  - Humans
MH  - Italy
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Pain/etiology
MH  - Prospective Studies
EDAT- 2001/10/26 10:00
MHDA- 2002/02/28 10:01
CRDT- 2001/10/26 10:00
PHST- 2001/10/26 10:00 [pubmed]
PHST- 2002/02/28 10:01 [medline]
PHST- 2001/10/26 10:00 [entrez]
PST - ppublish
SO  - Panminerva Med. 2001 Dec;43(4):239-42.