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Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience.

Publication ,  Journal Article
Mouraviev, V; Nosnik, I; Robertson, C; Albala, D; Walther, P; Polascik, TJ
Published in: Eur Urol
March 2007

OBJECTIVE: We analysed total hospital costs by comparing minimally invasive surgery (MIS) procedures, such as laparoscopic cryoablation (LCA), laparoscopic partial nephrectomy (LPN), and hand-assisted laparoscopic nephrectomy (HALN), with conventional surgery. METHODS: Between March 2000 and July 2005, 184 consecutive patients underwent surgery for a small, organ-confined renal tumour < or =3.5 cm in diameter. The distribution of patients among the surgical procedures was: HALN (n=53); LPN (n=20); open radical nephrectomy (ORN; n=20); open partial nephrectomy (OPN; n=71); and LCA (n=20). Total hospital costs were analysed for each procedure. RESULTS: Patients undergoing OPN at a mean age of 58+/-13 yr were significantly younger those undergoing HALN, ORN, and LCA. The mean hospital length of stay in the LCA group (2.0+/-1.2 d) was shorter than all other groups (p<0.05). Higher surgical costs occurred with LCA, LPN, and HALN compared (p<0.05) with ORN and OPN. However, total financial costs were lower for LCA and HALN with more obvious differences between LCA and the other four groups. CONCLUSIONS: The costs of MIS remain competitive with traditional surgery. Although the surgical costs were higher, LCA had the lowest total hospital costs for the renal tumour < or =3.5 cm at our institution. Long-term oncologic efficacy studies will be needed to fully appreciate the cost-efficacy ratio of MIS.

Duke Scholars

Published In

Eur Urol

DOI

ISSN

0302-2838

Publication Date

March 2007

Volume

51

Issue

3

Start / End Page

715 / 720

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Nephrectomy
  • Middle Aged
  • Male
  • Laparoscopy
  • Kidney Neoplasms
  • Humans
  • Hospital Costs
  • Female
  • Costs and Cost Analysis
 

Citation

APA
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ICMJE
MLA
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Mouraviev, V., Nosnik, I., Robertson, C., Albala, D., Walther, P., & Polascik, T. J. (2007). Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience. Eur Urol, 51(3), 715–720. https://doi.org/10.1016/j.eururo.2006.06.050
Mouraviev, Vladimir, Israel Nosnik, Cary Robertson, David Albala, Philip Walther, and Thomas J. Polascik. “Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience.Eur Urol 51, no. 3 (March 2007): 715–20. https://doi.org/10.1016/j.eururo.2006.06.050.
Mouraviev V, Nosnik I, Robertson C, Albala D, Walther P, Polascik TJ. Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience. Eur Urol. 2007 Mar;51(3):715–20.
Mouraviev, Vladimir, et al. “Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience.Eur Urol, vol. 51, no. 3, Mar. 2007, pp. 715–20. Pubmed, doi:10.1016/j.eururo.2006.06.050.
Mouraviev V, Nosnik I, Robertson C, Albala D, Walther P, Polascik TJ. Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours < or =3.5 cm: a single institutional experience. Eur Urol. 2007 Mar;51(3):715–720.
Journal cover image

Published In

Eur Urol

DOI

ISSN

0302-2838

Publication Date

March 2007

Volume

51

Issue

3

Start / End Page

715 / 720

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Nephrectomy
  • Middle Aged
  • Male
  • Laparoscopy
  • Kidney Neoplasms
  • Humans
  • Hospital Costs
  • Female
  • Costs and Cost Analysis