[Minimising hospital costs in the treatment of bile duct calculi: a comparison study]. / Estudio de minimización de costes hospitalarios en el tratamiento de la coledocolitiasis.
Cir Esp
; 90(5): 310-7, 2012 May.
Article
em Es
| MEDLINE
| ID: mdl-22480916
ABSTRACT
INTRODUCTION:
The treatment of bile duct calculi associated with cholelithiasis is controversial. The hospital costs could be a decisive factor in choosing between the different therapeutic options.OBJECTIVES:
To compare the effectiveness and costs of two options in the treatment of common bile duct calculi 1) One-stage Laparoscopic cholecystectomy and bile duct exploration, and 2) Two-stage sequential endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy. MATERIAL ANDMETHODS:
A retrospective, observational study was performed on 49 consecutive patients with bile duct calculi and gallbladder in situ, treated consecutively and simultaneously over a two year period. The post-operate complication, hospital stay, number of procedures per patient, conversion to laparotomy, efficacy of removing the calculi, and hospital costs.RESULTS:
There were no differences as regards the patient clinical features or morbidity. The mean post-surgical hospital stay for the One-stage group was less than that in the Two-stage group. Three patients of the Two-stage group required conversion to laparotomy. The median costs per patient were less for the One-stage strategy, representing an overall saving of 37,173 during the period studied.CONCLUSIONS:
No significant differences were found between the two treatment options as regards efficacy or post-surgical morbidity and mortality, but there were differences in hospital stay and costs. The management of patients with gallstones in one-stage surgery represents a saving of 3 days hospital stay and 1,008 per patient.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cálculos Biliares
/
Colangiopancreatografia Retrógrada Endoscópica
/
Colecistectomia Laparoscópica
/
Custos Hospitalares
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Cir Esp
Ano de publicação:
2012
Tipo de documento:
Article