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[Comparative study of direct cost between open and laparoscopic cholecystectomy]
Guillermo Salinas-Escudero1, Víctor Raúl Zurita-Saldaña, Adolfo Gabriel Hernández-Garduño
1Hospital Infantil de México Federico Gómez, Secretaría de Salud, Distrito Federal, México.
Revista Medica Del Instituto Mexicano Del Seguro Social
|October 11, 2011
Summary
Open cholecystectomy (OCL) is less expensive than laparoscopic cholecystectomy (LCL). The higher cost of LCL is mainly due to laboratory exam expenses, which account for most material costs.
Area of Science:
- General Surgery
- Health Economics
Background:
- Cholecystectomy is a common surgical procedure.
- Understanding the direct costs of open cholecystectomy (OCL) versus laparoscopic cholecystectomy (LCL) is crucial for healthcare resource allocation.
Purpose of the Study:
- To compare the direct costs of OCL and LCL using a microcosting approach.
- To identify cost drivers for each surgical approach.
Main Methods:
- A microcosting analysis was performed on patients undergoing cholecystectomy.
- Data collected included operative room time, personnel, materials, medications, instruments, and equipment.
- 248 patients were included: 94 undergoing OCL and 74 undergoing LCL.
Main Results:
- OCL had a longer surgical time (102 minutes) compared to LCL (82 minutes).
- LCL incurred significantly higher material costs ($5,329) than OCL ($1,403).
- Total direct costs were $7,238 for OCL and $12,507 for LCL.
Conclusions:
- Laparoscopic cholecystectomy is more expensive than open cholecystectomy.
- The primary driver of the cost difference is the expense of laboratory tests, comprising 79% of material costs for LCL.