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Related Experiment Videos

Laparoscopic or open fundoplication? A complete cost analysis

A M Blomqvist1, H Lönroth, J Dalenbäck

  • 1Department of Surgery, Sahlgrenska University Hospital, S-413045 Gothenburg, Sweden.

Surgical Endoscopy
|September 24, 1998
PubMed
Summary
This summary is machine-generated.

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Laparoscopic fundoplication for chronic gastroesophageal reflux disease (GERD) is more cost-effective than open surgery. This minimally invasive approach significantly reduces both direct medical expenses and indirect costs associated with lost productivity.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Health Economics

Background:

  • Chronic gastroesophageal reflux disease (GERD) poses significant healthcare burdens.
  • Surgical interventions like fundoplication are common treatments for refractory GERD.
  • Comparative cost-effectiveness of surgical approaches requires thorough investigation.

Purpose of the Study:

  • To compare the direct and indirect costs of open versus laparoscopic fundoplication for chronic GERD.
  • To evaluate the economic impact of each surgical method on patients and the community.
  • To determine the overall cost-effectiveness of laparoscopic fundoplication.

Main Methods:

  • Prospective observational trial comparing open and laparoscopic fundoplication.
  • Two patient groups, each with 28 subjects.

Related Experiment Videos

  • Assessment of direct medical costs (operation, hospital stay, outpatient visits, etc.) and indirect costs (loss of production due to sick leave).

    • Main Results:

    • Laparoscopic fundoplication resulted in significantly shorter postoperative hospital stays (2 days vs. 8 days) and sick leave (9.9 days vs. 29.9 days).
    • Total direct costs were lower for laparoscopy (27,693 SEK) compared to open surgery (37,482 SEK).
    • Indirect costs, primarily loss of production, were substantially lower for laparoscopy (12,595 SEK vs. 37,126 SEK).

    Conclusions:

    • The total community-based costs for laparoscopic fundoplication (40,289 SEK) were significantly lower than for open fundoplication (74,608 SEK).
    • Laparoscopic fundoplication is recommended as the preferred surgical option for most patients with chronic GERD due to its superior cost-effectiveness.
    • Minimally invasive surgery offers considerable economic advantages over traditional open procedures.