Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time.
Am Surg
; 86(6): 715-720, 2020 Jun.
Article
em En
| MEDLINE
| ID: mdl-32683956
ABSTRACT
BACKGROUND:
Surgeons can help reduce health care spending by selecting affordable and efficient instruments. The laparoscopic appendectomy (LA) is commonly performed and can serve as a model for improving health care cost.METHODS:
We retrospectively reviewed all adult patients who underwent LA for non-perforated appendicitis from March 2015 to November 2017. Our objective was to determine which combination of disposable instruments afforded the lowest total operative cost without compromising postoperative outcomes.RESULTS:
In total, 1857 consecutive patients were reviewed from 2 hospitals. After determining the 8 most commonly utilized combinations of disposable instruments, 846 patients were ultimately analyzed. The combination of a LigaSure, Endoloop, and an EndoBag (LEB) had the shortest median operative time (25 minutes, P < .001) and lowest median total operative cost ($1893, P < .001).CONCLUSIONS:
The LEB instrument combination rendered the shortest operative time, lowest total operative cost, and can be used to maximize surgical value during LA.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apendicite
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Instrumentos Cirúrgicos
/
Laparoscopia
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Equipamentos Descartáveis
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
Limite:
Adult
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article