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2011, Number 6

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Cir Cir 2011; 79 (6)

Hospitalization costs of open vs. laparoscopic appendectomy: 5-year experience

Cárdenas-Salomon CM, Cervantes-Castro J, Jean-Silver ER, Toledo-Valdovinos SA, Murillo-Zolezzi A, Posada-Torres JA

Language: Spanish
References: 23
Page: 534-539
PDF size: 251.03 Kb.


ABSTRACT

Background: There is an ongoing debate over certain aspects of laparoscopic appendectomy (LA) over open appendectomy (OA) in regard to hospitalization costs and associated complications.
Methods: A database was used to obtain the charts for either LA or OA performed during a 5-year period. Variables analyzed were age, gender, hospitalization cost, length of stay and complications.
Results: Of 1792 appendectomies performed, 633 (35.3%) were OA and 1159 (64.6%) were LA. Both groups were statistically similar with regard to gender (p = 0.075) but differed with respect to age, demonstrating an older patient population in the LA group (p ‹0.0001). Length of stay was significantly higher in the OA group (3.33 vs. 2.52) days, p ‹0.0001). The overall hospitalization cost of LA was 25% higher than the OA cost (p = 0.0005). The cost of an uncomplicated LA case was 1.7 times higher than in the OA group (p ≤0.0001). We found no statistically significant differences between the hospitalization cost of an OA and LA group when both procedures were associated with a complication (p = 0.5319).
A higher complication rate was observed in the OA group, 60 cases (9.47%) as compared to the LA group, 46 cases (3.96%), p ‹0.0001. The increased rate of complications observed was related to cardiovascular, wound and infectious problems.
Conclusions: Noncomplicated LA was associated with a higher hospitalization cost. There was no difference with regard to complicated cases. The incidence of complications increased in the OA group.


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