Economics of Laparoscopic Colectomy

Author

deSouza

Tyler

Park

Complications

21 % vs. 20 %

22 % vs. 22 %

OR duration (minutes)

118 vs. 158

130 vs. 196

LOS (days)

5 vs. 5

5.7 vs. 5.5

Cost

$12,361 vs. $15,192

$16,519 vs. $20,696

$10,320 vs. $12,235

NA not available, OR operating room, LOS length of stay

The available data suggest overall similar outcomes in terms of complications and length of stay after surgery; however, the data are equally consistent in demonstrating increased operative time and cost of hospitalization

Conclusion

The available data clearly demonstrate that laparoscopic colectomy has evolved to the level that a skilled surgeon can reproducibly provide patient-centric, high-quality, cost-efficient care for their patients requiring colorectal resections. Importantly, this surgical advancement has reduced the complication rate compared to the best results achieved with open colorectal resection. Further advancements in laparoscopic colorectal surgery should be aimed at reducing conversion rates and improving closure of the extraction site and trocar sites as these issues present the greatest opportunities for further quality and cost improvement in laparoscopic colectomy.

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