TY - JOUR
T1 - Costs of laparoscopic and open liver and pancreatic resection
T2 - A systematic review
AU - Limongelli, Paolo
AU - Vitiello, Chiara
AU - Belli, Andrea
AU - Pai, Madhava
AU - Tolone, Salvatore
AU - Del Genio, Gianmattia
AU - Brusciano, Luigi
AU - Docimo, Giovanni
AU - Habib, Nagy
AU - Belli, Giulio
AU - Jiao, Long Richard
AU - Docimo, Ludovico
PY - 2014/12/14
Y1 - 2014/12/14
N2 - AIM: To study costs of laparoscopic and open liver and pancreatic resections, all the compiled data from available observational studies were systematically reviewed.METHODS: A systematic review of the literature was performed using the Medline, Embase, PubMed, and Cochrane databases to identify all studies published up to 2013 that compared laparoscopic and open liver [laparoscopic hepatic resection (LLR) vs open liver resection (OLR)] and pancreatic [laparoscopic pancreatic resection (LPR) vs open pancreatic resection] resection. The last search was conducted on October 30, 2013.RESULTS: Four studies reported that LLR was associated with lower ward stay cost than OLR (2972 USD vs 5291 USD). The costs related to equipment (3345 USD vs 2207 USD) and theatre (14538 vs 11406) were reported higher for LLR. The total cost was lower in patients managed by LLR (19269 USD) compared to OLR (23419 USD). Four studies reported that LPR was associated with lower ward stay cost than OLR (6755 vs 9826 USD). The costs related to equipment (2496 USD vs 1630 USD) and theatre (5563 vs 4444) were reported higher for LPR. The total cost was lower in the LPR (8825 USD) compared to OLR (13380 USD).CONCLUSION: This systematic review support the economic advantage of laparoscopic over open approach to liver and pancreatic resection.
AB - AIM: To study costs of laparoscopic and open liver and pancreatic resections, all the compiled data from available observational studies were systematically reviewed.METHODS: A systematic review of the literature was performed using the Medline, Embase, PubMed, and Cochrane databases to identify all studies published up to 2013 that compared laparoscopic and open liver [laparoscopic hepatic resection (LLR) vs open liver resection (OLR)] and pancreatic [laparoscopic pancreatic resection (LPR) vs open pancreatic resection] resection. The last search was conducted on October 30, 2013.RESULTS: Four studies reported that LLR was associated with lower ward stay cost than OLR (2972 USD vs 5291 USD). The costs related to equipment (3345 USD vs 2207 USD) and theatre (14538 vs 11406) were reported higher for LLR. The total cost was lower in patients managed by LLR (19269 USD) compared to OLR (23419 USD). Four studies reported that LPR was associated with lower ward stay cost than OLR (6755 vs 9826 USD). The costs related to equipment (2496 USD vs 1630 USD) and theatre (5563 vs 4444) were reported higher for LPR. The total cost was lower in the LPR (8825 USD) compared to OLR (13380 USD).CONCLUSION: This systematic review support the economic advantage of laparoscopic over open approach to liver and pancreatic resection.
KW - Hepatobiliary resection
KW - Laparoscopic hepatic resection
KW - Laparoscopic pancreatic resection
KW - Open liver resection
KW - Open pancreatic resection
UR - http://www.scopus.com/inward/record.url?scp=84918554758&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84918554758&partnerID=8YFLogxK
U2 - 10.3748/wjg.v20.i46.17595
DO - 10.3748/wjg.v20.i46.17595
M3 - Article
C2 - 25516675
AN - SCOPUS:84918554758
VL - 20
SP - 17595
EP - 17602
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
SN - 1007-9327
IS - 46
ER -