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2015 | 87 | 12 | 634-637
Tytuł artykułu

Laparosocopic Appendectomy, Cost-Effectiveness of Three Different Techniques Used to Close the Appendix Stump

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
It is generally agreed that laparoscopic appendectomy is a valuable operative method. The aim of the study was to evaluate cost-effectiveness of three different techniques used to close the appendix stump. Material and methods. We conducted a retrospective study that compared three groups of patients who were operated on laparoscopically for acute appendicitis in 2013 at our institution. We used an endoscopic clip to close the appendix stump in the first group (n=20), endoscopic stapler was applied in the second group (n=20), and in the third group of patients the appendix base was closed with a laparoscopic suture (n=20). These groups were matched by age, sex and BMI. Results. The average operative cost was the highest in the second group. Cost of the laparoscopic appendectomy with the application of the endoscopic clip was significantly lower (first group) and comparable to the third group. Observed differences in total hospitalization costs were associated only with the chosen appendix stump closure technique. Conclusions. Clip closure of the appendix base is an easy and cost-effective procedure. The laparoscopic suture technique is the cheapest but technically demanding. According to our experience endoscopic stapler may be useful in some cases, although it is the most expensive method.
Wydawca
Rocznik
Tom
87
Numer
12
Strony
634-637
Opis fizyczny
Daty
wydano
2015-12-01
online
2016-03-10
otrzymano
2016-04-01
Twórcy
  • 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz , maciek@medicina.pl
  • 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz
  • 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz
Bibliografia
  • 1. Strzałka M, Bobrzyński A: Laparoskopia w leczeniu ostrych schorzeń jamy brzusznej. Wideochirurgia i inne techniki małoinwazyjne 2008; 3(1): 1‑9.
  • 2. Bobrzyński A, Budzyński A, Strzałka M: Laparoskopia ze wskazań doraźnych. Przegl Lek 2002; 59(10): 873.
  • 3. Strzałka M, Bobrzyński A, Budzyński A, Gwóźdź A: Usunięcie wyrostka robaczkowego techniką klasyczną czy laparoskopową? Wideochirurgia i inne techniki małoinwazyjne 2009; 4 (3): 110‑14.
  • 4. Sauerland S, Jaschinski T, Neugebauer EA : Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2010: CD001546.[WoS][Crossref]
  • 5. Costa-Navarro D, Jimenez-Fuertes M, Illian- Riquelme A: Laparoscopic appendectomy: quality care and cost effectiveness for today’s economy. World J Emerg Surgery 2013 Nov 1; 8(1) 45.[WoS]
  • 6. Sporn E, Petroski GF, Mancini GJ et al.: Laparoscopic appendectomy is it worth the cost? Trend analysis in the US from 2000 to 2005. J Am Coll Surg 2009; 208: 179‑85.
  • 7. Partecke L, Kessler W, Diedrich S et al.: Diseaseadapted closure of the appendicular stump in laparoscopic appendectomy. Zentralbl Chir 2013 Jun; 138(3): 262‑69.
  • 8. Strzałka M, Matyja M, Rembiasz K: Wyniki laparoskopowych appendektomii z użyciem tytanowego klipsa do zamknięcia kikuta wyrostka robaczkowego. Pol Przegl Chir 2014 Dec 18; 86(9): 418‑21.
  • 9. Kazemier G, in’t Hof KH, Saad S, Bonjer HJ, Sauerland S: Securing the appendiceal stump in laparoscopic appendectomy: evidence for routine stapling? Surg Endosc 2006; 20: 1473‑76.[Crossref]
  • 10. Partecke LI , Kessler W, von BW, Diedrich S et al.: Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump. Langenbecks Arch Surg 2010; 395: 1077‑82.
  • 11. Tiwari MM, Reynoso JF, High R et al.: S Safety, efficacy, and cost-effectiveness of common laparoscopic procedures. Surg Endsocopy 2011 Apr; 25(4): 1127‑35.
  • 12. Gonenc M, Gemici E, Kalayci MU et al.: Intracorporeal knotting versus metal endoclip application for the closure of the appendiceal stump during laparoscopic appendectomy in uncomplicated appendicitis. J Laparoendosc Adv Surg Tech A 2012; 8(3): 231‑35.
  • 13. Haas L, Stargardt T, Schreyoegg J: Cost-effectiveness of open versus laparoscopic appendectomy: a multilevel approach with propensity score matching. Eur J Health Econ 2012 Oct; 13(5): 549‑60.[Crossref][WoS]
  • 14. Rickert A, Bönninghoff R, Post S et al.: Appendix stump closure with titanium clips in laparoscopic appendectomy. Langenbecks Arch Surg 2012 Feb; 397(2): 327‑31.[WoS]
  • 15. Ates M, Dirican A, Ince V et al.: Comparison of intracorporeal knot-tying suture (polyglactin) and titanium endoclips in laparoscopic appendiceal stump closure: a prospective randomized study. Surg Laparosc Endosc Percutan Tech 2012 Jun; 22(3): 226‑31.[Crossref]
  • 16. Gomes C, Soares C Jr, de Peixoto R et al.: Appendiceal stump closure by metal endoclip in the management of complicated acute appendicitis World J Emerg Surg 2013; 8: 35.[WoS]
  • 17. Rickert A, Krüger CM, Runkel N et al.: The TICAP-Study (titanium clips for appendicular stump closure): A prospective multicentre observational study on appendicular stump closure with an innovative titanium clip. BMC Surg 2015 Jul 17; 15: 85.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2016-0015
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