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Laparoscopic and open colorectal surgery: a prospective cost analysis
H M Dowson1, H Gage, D Jackson
1Minimal Access Therapy Training Unit, Postgraduate Medical School, University of Surrey, Guildford, UK.
Summary
Laparoscopic colorectal surgery has similar overall costs to open surgery, despite higher initial operative expenses. This suggests potential cost-effectiveness when patient benefits are considered.
Area of Science:
- Colorectal surgery
- Minimally invasive surgery
- Health economics
Background:
- Cost is a perceived barrier to laparoscopic colorectal surgery adoption.
- Previous studies have not definitively compared the total healthcare costs of laparoscopic versus open colorectal procedures.
Purpose of the Study:
- To compare the total healthcare costs associated with laparoscopic colorectal surgery and open colorectal surgery.
- To evaluate the economic impact of surgical approach on patient care within a UK district general hospital setting.
Main Methods:
- Prospective study of 201 patients undergoing elective laparoscopic or open colorectal surgery.
- Comprehensive recording of all healthcare resources used (operative, inpatient, and community care).
- Costs were calculated in British pounds (2006-2007) and compared between the two surgical groups.
Main Results:
- Laparoscopic surgery incurred higher operative costs (£2049 vs £1263) due to disposable instruments.
- Open surgery resulted in significantly higher hospital costs (£3468 vs £1807) attributed to longer inpatient stays.
- Overall costs were not significantly different between laparoscopic (£3875) and open (£4383) surgery.
Conclusions:
- The total healthcare costs for laparoscopic and open colorectal surgery are comparable.
- Laparoscopic colorectal surgery may be considered cost-effective, particularly if enhanced patient benefits are achieved.
