Home > Journals > Panminerva Medica > Past Issues > Panminerva Medica 2001 December;43(4) > Panminerva Medica 2001 December;43(4):239-42

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

PANMINERVA MEDICA

A Journal on Internal Medicine


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,698


eTOC

 

ORIGINAL ARTICLES  


Panminerva Medica 2001 December;43(4):239-42

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Laparoscopic versus open cholecystectomy. An analysis of clinical and financial aspects

Schietroma M., Carlei F., Liakos C., Rossi M., Carloni A., Enang G. N., Pistoia M. A.

From the Chair of Geriatric Surgery *Chair of Endoscopic Surgery, Department of Surgical Sciences, University of L’Aquila, L’Aquila, Italy


PDF  


Background. The aim of ­this ­study is to ­assess the clin­i­cal and finan­cial ­aspects of lapar­os­cop­ic chol­e­cys­tec­to­my (LC) com­pared to ­open chol­e­cys­tec­to­my (OC).
Methods. Thirty-six ­patients treat­ed ­with LC ­were pros­pec­tive­ly, not ran­dom­ized, com­pared ­with 35 ­patients ­that under­went OC. The ­data ­used ­were tak­en ­from ­local reg­is­ters, ­patient-sta­tis­tics and hos­pi­tal account­ing ­systems. We eval­u­at­ed the ­costs, mor­bid­ity and mor­tal­ity for ­both sur­gi­cal pro­ce­dures.
Results. Significant dif­fer­enc­es ­were ­observed con­cern­ing the num­ber of ­days ­that ­pain was suf­fered (­mean 7.6 ­days in LC ver­sus 18.5 ­days in OC), the dura­tion of post­op­er­a­tive hos­pi­tal­iza­tion (LC ­mean 2-3 ­days; OC 7-9 ­days), the ­extent of post­op­er­a­tive mon­i­tor­ing per­formed, and the num­ber of ­days in ­order to ­return to nor­mal activ­ity (­mean 4.4 ­days in LC; ­mean 7.6 ­days in OC). Calculation of the ­costs was ­based on the Diagnosis Related Groups (DRG). The prof­it for a DRG is the ­result of the dif­fer­ence ­between the reim­burse­ment ­obtained ­from the exe­cu­tion of the oper­a­tion and the ­cost in ­order to car­ry it out. The ­total ­cost for the exe­cu­tion of LC is Italian £ 3,332,632 ­with a prof­it of Italian £ 1,208,807 ­while for OC the ­cost is £ 4,007,359 and the prof­it is £ 347,041.
Conclusions. The ­results of our ­study is ­that, clin­i­cal­ly and finan­cial­ly, LC has obvi­ous advan­tag­es ­over OC.

top of page

Publication History

Cite this article as

Corresponding author e-mail