A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses

Long, Kirsten Hall; Bannon, Michael P.; Zietlow, Scott P.; Helgeson, Eva R.; Harmsen, William S.; Smith, C. Daniel; Ilstrup, Duane M.; Baerga-Varela, Yvonne; Sarr, Michael G.

doi:10.1067/msy.2001.114216

Cited by 107 publications

(73 citation statements)

References 31 publications

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“…Many publications show that compared to OA, LA performed for perforated appendicitis is associated with a higher rate of postoperative IAA in adults [19,23] as well as in children [4,9,13,14]. In a few studies, IAA has also been reported after LA for noncomplicated appendicitis in adults [2] and children [17].…”

Section: Discussionmentioning

confidence: 99%

Is laparoscopic appendectomy in children associated with an uncommon postoperative complication?

2005

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Section: Discussionmentioning

confidence: 99%

Is laparoscopic appendectomy in children associated with an uncommon postoperative complication?

2005

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“…Microcosting has been utilized in other contexts, such as comparing two surgical procedures in the same center [16] and in in-depth cost estimations of screening techniques for use in cost-effectiveness analyses [17,18]. In oncology, microcosting has been used to assess the cost of sentinel lymph node detection versus axillary lymphadenectomy in early breast cancer [19], the cost of trastuzumab in the Breast Cancer International Research Group 006 trial [20], the comparative costs of diffuse large B-cell lymphoma therapy in a Canadian study [21], and the comparative costs of postoperative complications after inguinal lymph node dissection in melanoma patients [22].…”

Section: Methodsmentioning

confidence: 99%

Comparison of Quick Diagnosis Units and Conventional Hospitalization for the Diagnosis of Cancer in Spain: A Descriptive Cohort Study

Bosch

Moreno²,

Ríos³

et al. 2012

Oncology

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Objective: Quick diagnosis units (QDUs) in Spain provide patients with severe disease who would normally require hospitalization with the prompt and effective diagnosis they deserve. We compared the value and cost of a QDU and of conventional hospitalization in assessing patients with cancer. Methods: In a descriptive cohort study, 169 patients with a final diagnosis of cancer were prospectively evaluated between November 2008 and April 2010. We also analyzed a retrospective cohort of 53 randomly selected patients with neoplasia hospitalized during this period. In addition to the variables time to diagnosis and length of stay, we compared the costs of both models using microcosting techniques. Results: Colorectal cancer was the commonest cancer (26%). QDU patients were younger than hospitalized patients (68.3 vs. 74.7 years; p < 0.05), and there were also significant differences with respect to the source of referral (p < 0.00001) and destination (p < 0.00001), but not regarding diagnosis (p > 0.34), reason for consultation (p > 0.26) and time to diagnosis/length of stay (Wilcoxon rank sum test, p > 0.05). The mean costs for hospitalization were EUR 4,059.37 compared with EUR 601.84 in the QDU. Conclusion: For diagnostic purposes, cancer patients can be managed similarly in a QDU or in in-hospital settings, but the QDU model seems to incur fewer costs.

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“…In einer weiteren Studie wurde zusätzlich noch eine niedrigere Wundinfektionsrate bei der LA aufgeführt [10]. Als Nachteil wurde die längere Operationszeit und die hö-heren Materialkosten angegeben [11,12]. In den ersten Metaanalysen wurde dies bestätigt [10,13].…”

Section: Nationale Und Internationale Datenlageunclassified

Offene Appendektomie

Reißfelder

Cafferty

Frankenberg

2009

Chirurg

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Acute appendicitis is the most common emergency visceral surgical procedure in Germany with 130,000 appendectomies. The question of which operational procedure should be used must therefore be discussed at regular intervals. In many centers of minimal invasive surgery, laparoscopic appendectomy (LA) is the standard procedure. Nearly 30 years after introduction of LA, it is believed that open appendectomy (OA) is needed only on rare occasions, but the actual percentage of OAs carried out in 2006 was 46% of all appendectomies. This high percentage documents that OA is still the standard procedure in many German hospitals. A review of the literature shows that there are still some situations in which OA is superior to LA. Infants younger than 5 years old have a more difficult basic requirement for LA due to the small abdominal cavity, therefore OA is the procedure of choice in most cases. During pregnancy OA has a lower risk for the fetus than LA. Cost analyses show that OA is less expensive for the hospital in material costs, whereas LA is the better economic choice due to an earlier return to work. In summary, there are only marginal differences between the two procedures since both offer a fast patient recovery. Advantages in favor of both LA and OA exist in subgroup analyses and the possible subgroups that can benefit from OA are discussed in this article.

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A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses

Cited by 107 publications

References 31 publications

Is laparoscopic appendectomy in children associated with an uncommon postoperative complication?

Is laparoscopic appendectomy in children associated with an uncommon postoperative complication?

Comparison of Quick Diagnosis Units and Conventional Hospitalization for the Diagnosis of Cancer in Spain: A Descriptive Cohort Study

Offene Appendektomie

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