title: [Cost-benefit calculations in laparoscopic surgery. Substantial total benefits, but extra expenses for hospitals are required--reversed effect].
abstract: Based on data from our prospective comparative study, we calculated health care costs associated with cholecystectomy (n = 200) and appendectomy (n = 40) patients undergoing open and laparoscopic procedures respectively. Average costs associated with cholecystectomy were reduced from NOK 36,750 to NOK 14,050 (62% decrease) when the laparoscopic technique replaced the conventional open method. A similar comparative study focused on appendectomy was performed with 20 patients in each group, and the costs were reduced by altogether 56%. The potential for decrease in health care costs seems to be substantial, even though requiring investments in equipment and education. Mini-invasive surgery not only improves the quality of surgical treatment, but also increases the efficacy of health care investments.
authors.affiliation: Gastroenterologisk avdeling Kirurgisk klinikk, Ullevål sykehus, Oslo.
authors.forename: T
authors.initials: T
authors.lastname: Buanes
authors.forename: B A
authors.initials: BA
authors.lastname: Sørensen
authors.forename: J O
authors.initials: JO
authors.lastname: Stadaas
mesh_terms: D001062:Appendectomy / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D004469:Economics, Hospital; D006801:Humans; D007449:Investments / Q000191:economics; D010535:Laparoscopy; D007902:Length of Stay / Q000191:economics; D009664:Norway
vernacular_title: Kostnad-nytte-beregninger ved laparoskopisk kirurgi. Store totalgevinster, men sykehusene påføres ekstrakostnader--omvendt gulroteffekt.