ABSTRACT
The authors report the results of mini-cholecystectomy performed through a 3 to 4 cm long subcostal incision in 29 patients with the diagnosis of acute or chronic cholecystitis, from February 1991 to November 1922. Some of the patients were obese, diabetics or presented as emergency cases. The patients were operated on in the morning, as in laparoscopic cholecystectomy, began oral intake in the afternoon and were discharged on the day after surgery. Dissection of the gallbladder was facilitated by the use of a modified gynecologic valve and long thin instruments. Duration of surgery varied from 40 to 140 minutes. Patients could return to work on the third day after surgery. Notably, the costs/benefits were on the third more favorable than those of laparoscopic cholecystectomy
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cholecystectomy/methods , Cost-Benefit Analysis , Cholecystectomy/economics , Cholecystectomy/instrumentation , Cholecystitis/economics , Cholecystitis/surgery , Cholelithiasis/economics , Cholelithiasis/surgery , Acute Disease , Chronic Disease , Time Factors , Follow-Up StudiesABSTRACT
The authors report the results of mini-cholecystectomy performed through a 3 to 4 cm long subcostal incision in 29 patients with the diagnosis of acute or chronic cholecystitis, from February 1991 to November 1922. Some of the patients were obese, diabetics or presented as emergency cases. The patients were operated on in the morning, as in laparoscopic cholecystectomy, began oral intake in the afternoon and were discharged on the day after surgery. Dissection of the gallbladder was facilitated by the use of a modified gynecologic valve and long thin instruments. Duration of surgery varied from 40 to 140 minutes. Patients could return to work on the third day after surgery. Notably, the costs/benefits were on the third more favorable than those of laparoscopic cholecystectomy.
Subject(s)
Cholecystectomy/methods , Acute Disease , Adult , Aged , Cholecystectomy/economics , Cholecystectomy/instrumentation , Cholecystitis/economics , Cholecystitis/surgery , Cholelithiasis/economics , Cholelithiasis/surgery , Chronic Disease , Cost-Benefit Analysis , Female , Follow-Up Studies , Humans , Male , Middle Aged , Time FactorsABSTRACT
Se señala que en 1976 el 58,5 por ciento del total de hospitales provinciales y regionales informó el sistema estadístico de egresos hospitalarios y se codificó el 66,4 por ciento del total de egresos. Se indica que se tomaron aquellos codificados como diagnóstico principal al egreso: cilelitiasis, colelitiasis y colangitis sin mención de cálculos biliares y otras enfermedades de la vesícula y de las vías biliares. Se informa que el 2 por ciento de los egresos fue por enfermedades de la vesícula y se intervino quirúrgicamente el 62por ciento de ellos, con un promedio de estadía de 14,7 días por pacientes. Si se toma como base algunos índices económicos nacionales como el sueldo promedio por trabajador y los índices hospitalarios obtenidos en la muestra estudiada, se estima que en ese año las pérdidas económicas por enfermedades de la vesícula fueron alrededor de $2 600 000.00 (AU)