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Related Experiment Video

Updated: Jul 15, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Laparoscopic colectomy is cheaper than conventional open resection.

P F Ridgway¹, E Boyle, F B Keane

¹Department of Surgery, Adelaide and Meath Hospital incorporating the National Children's Hospital (AMNCH), Dublin, Ireland. p.ridgway@ic.ac.uk

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|May 5, 2007

Summary

Laparoscopic colorectal surgery is significantly cheaper than open surgery, saving an average of 4591.38 euros and 7 bed days per case. This minimal access approach offers substantial cost benefits and reduced length of stay.

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Area of Science:

Colorectal Surgery
Minimally Invasive Surgery
Health Economics

Background:

Laparoscopic techniques are increasingly endorsed for colorectal surgery.
The cost-effectiveness of laparoscopic colorectal resection compared to open surgery requires thorough evaluation.

Purpose of the Study:

To compare the overall care pathway costs of laparoscopic colorectal resection versus conventional open resection.
To determine if minimal access surgery is more cost-effective in the long term.

Main Methods:

A case-matched study comparing 35 laparoscopic resections with 53 open resections.
Analysis of intraoperative parameters (cost, duration, incision length) and postoperative outcomes (morbidity, length of stay, readmission).
Utilized institutional retrospective open controls and national validated figures for cost analysis.

Main Results:

Laparoscopic surgery resulted in a significantly shorter median length of stay (5 days vs. 12 days, P=0.001).
Laparoscopic colorectal resections saved an average of 4591.38 euros and 7 bed days per case.
Despite higher initial operative spending, the overall cost was lower for laparoscopic procedures.

Conclusions:

Laparoscopic colorectal resection is significantly cheaper than conventional open resection.
The study demonstrated institutional savings exceeding 150,000 euros and 245 bed days.
Minimal access surgery provides substantial economic and resource utilization benefits in colorectal procedures.