Cost perspectives of laparoscopic and open appendectomy

Area of Science:

• Surgical Procedures
• Health Economics
• Cost-Benefit Analysis

Background:

• The economic and clinical superiority of laparoscopic versus open appendectomy remains debated.
• Appendectomy cost-effectiveness requires analysis from both institutional and societal viewpoints.

Purpose of the Study:

• To compare the economic outcomes of laparoscopic and open appendectomies.
• To evaluate costs from both hospital and patient perspectives.

Main Methods:

• A decision analytic model was employed to assess appendectomy costs.
• Institutional costs included direct healthcare expenses; societal costs included direct and indirect expenses.
• Data were sourced from randomized controlled trials, meta-analyses, and Medicare databases.

Main Results:

• From an institutional perspective, open appendectomy costs $5,171, while laparoscopic appendectomy costs $6,118.
• Laparプローチ becomes more cost-effective if open appendectomy wound infection rates exceed 23%.
• From a societal perspective, laparoscopic appendectomy costs $10,400, compared to $12,055 for open appendectomy.

Conclusions:

• Open appendectomy offers an economic advantage to hospitals.
• Laparoscopic appendectomy presents a more favorable economic choice for patients.