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Laparoscopic appendicectomy: calculating the cost.

P J Needham1, K A Laughlan, I D Botterill

  • 1Department of Colorectal Surgery, Leeds General Infirmary, Great George Street, Leeds, UK. pneedham@gmail.com

Annals of the Royal College of Surgeons of England
|June 30, 2009
PubMed
Summary
This summary is machine-generated.

Laparoscopic appendicectomy is cost-effective, generating a benefit of £233 per case. Further cost reductions are possible through optimized use of disposable equipment and standardized recovery protocols for this common procedure.

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Area of Science:

  • Surgical Oncology
  • Cost-Effectiveness Analysis

Background:

  • Laparoscopic appendicectomy is a frequent surgical procedure with significant associated costs.
  • The financial viability of laparoscopic appendicectomy under national tariffs requires investigation due to higher operative expenses compared to open surgery.

Purpose of the Study:

  • To determine the institutional costs of laparoscopic appendicectomy.
  • To assess the adequacy of national tariff reimbursement for this procedure.

Main Methods:

  • Prospective data collection from patients undergoing laparoscopic appendicectomy at Leeds Teaching Hospitals Trust.
  • Inclusion of theatre and bed costs in the analysis.
  • Comparison of total costs against national tariff reimbursement.

Main Results:

  • Fifty laparoscopic appendicectomies were analyzed, with a median operative time of 60 minutes.
  • The median total in-patient cost was £1617, with a median operative cost of £906.
  • A mean reimbursement of £1981 resulted in a cost benefit of £233 per case (P = 0.0009).

Conclusions:

  • Laparoscopic appendicectomy can be performed profitably within national tariffs, even with liberal disposable equipment use.
  • Significant cost variations exist, suggesting potential savings through stricter disposable equipment management and standardized recovery.
  • Further optimization of resource utilization can enhance the cost-effectiveness of laparoscopic appendicectomy.