Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time.
Document Type
Article
Publication Date
6-1-2020
Publication Title
The American surgeon
Abstract
BACKGROUND: Surgeons can help reduce health care spending by selecting affordable and efficient instruments. The laparoscopic appendectomy (LA) is commonly performed and can serve as a model for improving health care cost.
METHODS: We retrospectively reviewed all adult patients who underwent LA for non-perforated appendicitis from March 2015 to November 2017. Our objective was to determine which combination of disposable instruments afforded the lowest total operative cost without compromising postoperative outcomes.
RESULTS: In total, 1857 consecutive patients were reviewed from 2 hospitals. After determining the 8 most commonly utilized combinations of disposable instruments, 846 patients were ultimately analyzed. The combination of a LigaSure, Endoloop, and an EndoBag (LEB) had the shortest median operative time (25 minutes,
CONCLUSIONS: The LEB instrument combination rendered the shortest operative time, lowest total operative cost, and can be used to maximize surgical value during LA.
Volume
86
Issue
6
First Page
715
Last Page
720
Recommended Citation
DeMare AM, Luehmann NC, Kawak S, Abbott EE, Long J, Akay B, Brahmamdam P, Iacco AA, Novotny NM. Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time. Am Surg. 2020 Jun;86(6):715-720. doi: 10.1177/0003134820923337. PMID: 32683956.
DOI
10.1177/0003134820923337
ISSN
1555-9823
PubMed ID
32683956
