title: Analysis of the costs of surgery for Hirschsprung's disease: one-stage laparoscopic pull-through versus two-stage Duhamel procedure.
abstract: The purpose of this report is to evaluate the cost-effectiveness of a single-stage laparoscopic pull-through for Hirschsprung's disease compared to the traditional two-stage Duhamel procedure. In this series of 33 children, the length of hospitalization (2.5 +/- 3.5 vs 10.6 +/- 3.9, p < 0.01), cost (19,088 +/- 13,075 vs 34,110 +/- 19,443, p < 0.05), and complications were all significantly less with the laparoscopic assisted pull-through compared to the more traditional open approach.
authors.affiliation: Department of Surgery, University of Tennessee, Memphis, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Bufo
authors.forename: M K
authors.initials: MK
authors.lastname: Chen
authors.forename: R
authors.initials: R
authors.lastname: Shah
authors.forename: E
authors.initials: E
authors.lastname: Gross
authors.forename: N
authors.initials: N
authors.lastname: Cyr
authors.forename: T E
authors.initials: TE
authors.lastname: Lobe
mesh_terms: D002648:Child; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D003657:Decision Making; D005260:Female; D006627:Hirschsprung Disease / Q000191:economics / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000191:economics*; D007902:Length of Stay; D008297:Male