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Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy

Publication ,  Journal Article
Abu Hilal, M; Di Fabio, F; Syed, S; Wiltshire, R; Dimovska, E; Turner, D; Primrose, JN; Pearce, NW
Published in: Surgical Endoscopy
January 1, 2013

Background: Laparoscopic hepatectomy is progressively gaining popularity. However, it is still unclear whether the laparoscopic approach offers cost advantages compared with the open approach, especially when major hepatectomies are required. Data providing useful insights into the costs of the laparoscopic approach for clinicians and hospitals are needed. The aim of this study is to assess the financial implications of the laparoscopic approach for two standardized minor and major hepatectomies: left lateral sectionectomy and right hepatectomy. Methods: A cost comparison analysis of patients undergoing laparoscopic right hepatectomy (LRH) and laparoscopic left lateral sectionectomy (LLLS) versus the open counterparts was performed. Data considered for the comparison analysis were operative costs (theatre cost, consumables and surgeon/anaesthetic labour cost), postoperative costs (hospital stay, complication management and readmissions) and overall costs. Results: A total of 149 patients were included: 38 patients underwent LRH and 46 open right hepatectomy (ORH); 46 patients underwent LLLS and 19 open left lateral sectionectomy (OLLS). For LRH the mean operative, postoperative and overall costs were £10,181, £4,037 and £14,218; for ORH the mean operative, postoperative and overall costs were £6,483 (p < 0.0001), £10,304 (p < 0.0001) and £16,787 (p = 0.886). Regarding LLLS, the mean operative, postoperative and overall costs were £5,460, £2,599 and £8,059; for OLLS the mean operative, postoperative and overall costs were £5,841 (p = 0.874), £5,796 (p < 0.0001) and £11,637 (p = 0.0001). Conclusion: Our data support the cost advantage of the laparoscopic approach for left lateral sectionectomy and the cost neutrality for right hepatectomy. © 2013 Springer Science+Business Media New York.

Duke Scholars

Published In

Surgical Endoscopy

DOI

EISSN

1432-2218

ISSN

0930-2794

Publication Date

January 1, 2013

Volume

27

Issue

7

Start / End Page

2542 / 2550

Related Subject Headings

  • Surgery
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Abu Hilal, M., Di Fabio, F., Syed, S., Wiltshire, R., Dimovska, E., Turner, D., … Pearce, N. W. (2013). Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy. Surgical Endoscopy, 27(7), 2542–2550. https://doi.org/10.1007/s00464-012-2779-1
Abu Hilal, M., F. Di Fabio, S. Syed, R. Wiltshire, E. Dimovska, D. Turner, J. N. Primrose, and N. W. Pearce. “Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy.” Surgical Endoscopy 27, no. 7 (January 1, 2013): 2542–50. https://doi.org/10.1007/s00464-012-2779-1.
Abu Hilal M, Di Fabio F, Syed S, Wiltshire R, Dimovska E, Turner D, et al. Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy. Surgical Endoscopy. 2013 Jan 1;27(7):2542–50.
Abu Hilal, M., et al. “Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy.” Surgical Endoscopy, vol. 27, no. 7, Jan. 2013, pp. 2542–50. Scopus, doi:10.1007/s00464-012-2779-1.
Abu Hilal M, Di Fabio F, Syed S, Wiltshire R, Dimovska E, Turner D, Primrose JN, Pearce NW. Assessment of the financial implications for laparoscopic liver surgery: A single-centre UK cost analysis for minor and major hepatectomy. Surgical Endoscopy. 2013 Jan 1;27(7):2542–2550.
Journal cover image

Published In

Surgical Endoscopy

DOI

EISSN

1432-2218

ISSN

0930-2794

Publication Date

January 1, 2013

Volume

27

Issue

7

Start / End Page

2542 / 2550

Related Subject Headings

  • Surgery
  • 3202 Clinical sciences
  • 1103 Clinical Sciences