A comparison of laparoscopic and open treatment of acute cholecystitis

Unger, S. W.; Rosenbaum, Gary J.; Unger, Harold M.; Edelman, David

doi:10.1007/bf00311731

Cited by 63 publications

(32 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The complication rates for laparoscopic cholecystectomy have been reported to be comparable to those for open cholecystectomy [27]. The increased incidence of complication for acute cholecystitis has been shown in the past [15].…”

Section: Discussionmentioning

confidence: 93%

Early laparoscopic cholecystectomy for acute cholecystitis

et al. 1997

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 93%

Early laparoscopic cholecystectomy for acute cholecystitis

et al. 1997

View full text Add to dashboard Cite

show abstract

“…These include obesity [9], acute cholecystitis [12], choledocholithiasis [5], and pregnancy [10]. In addition, surgeons have increasingly included patients with previous abdominal surgery in their patients undergoing laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

The impact of previous abdominal surgery on outcome following laparoscopic cholecystectomy

Dix

et al. 1995

Surg Endosc

View full text Add to dashboard Cite

The first 1000 patients undergoing laparoscopic cholecystectomy (LC) at our institution were reviewed to investigate the impact of previous abdominal surgery on LC. The 454 patients having no previous abdominal surgery (NS) were compared to the 541 patients who had previous surgery (PS). PS patients were older, more likely to be female, and had a higher ASA risk category. PS patients had a higher incidence of wound infection, but in all other parameters of outcome, including operative duration and completion, length of hospitalization, and morbidity, there were no significant differences between PS and NS. When PS patients with previous upper abdominal surgery (PUAS, n = 59) were separately compared to the remainder of the entire patient group (NUAS, n = 936), the PUAS group was found to be older, to be more likely to be male, and to have a higher ASA risk category. PUAS patients had a longer postoperative hospitalization, and an increased incidence of intraoperative, postoperative, and total complications, readmissions to the hospital, and unrelated deaths. We conclude previous lower abdominal surgery has little impact on the outcome of patients undergoing LC while previous upper abdominal surgery is associated with increased morbidity.

show abstract

“…The conversion rate has a direct impact on the cost advantage [13]. In this study two patients were converted from laparoscopic to open cholecystectomy, resulting in a higher cost for the laparoscopic technique.…”

Section: Discussionmentioning

confidence: 98%

A financial analysis of laparoscopic and open cholecystectomy

1995

View full text Add to dashboard Cite

Laparoscopic cholecystectomy (LC) is now the method of choice in treatment of symptomatic gallstone disease. Despite its rapidly growing popularity, comparative costs of this new method and open cholecystectomy (OC) remain unclear. The most outstanding feature of laparoscopic cholecystectomy is the period of short recovery. In Sweden the social insurance office documents sick leave period, sickness allowance, as well as diagnosis and therefore provides a reliable basis for an economic analysis. The purpose of this study was to estimate the hospital cost and costs due to sick leave in a series of patients operated on with elective cholecystectomy using the two methods. In each group 50 consecutive patients were studied retrospectively. The total hospital cost was 10% lower in the laparoscopy group--$1,864 as compared to $2,030 per patient in the OC group. Median number of days off work was 14 after LC and 35 days after open surgery, which corresponds to a median sickness allowance of $516 per patient (LC) compared to $1,424 (OC). Laparoscopic cholecystectomy is more cost-effective than open cholecystectomy mainly due to a reduced sick leave period.

show abstract

A comparison of laparoscopic and open treatment of acute cholecystitis

Cited by 63 publications

References 12 publications

Early laparoscopic cholecystectomy for acute cholecystitis

Early laparoscopic cholecystectomy for acute cholecystitis

The impact of previous abdominal surgery on outcome following laparoscopic cholecystectomy

A financial analysis of laparoscopic and open cholecystectomy

Contact Info

Product

Resources

About