title: Cost-effectiveness of minimally invasive-intervention in aortofemoral revascularization.
abstract: Minimally invasive surgical procedures have become popular recently because they offer several advantages over conventional operative techniques. A person undergoing a minimally invasive procedure usually experiences less pain, is discharged earlier from hospital, returns to work sooner and has a less obtrusive post-operative scar. Excluding highly technical techniques (e.g. laparoscopic surgery), operations performed using mini-laparotomy are usually more cost-effective than conventional procedures, largely because they are less expensive to perform. Our paper investigates cost-effectiveness and other parameters relating to minimally invasive aortofemoral revascularization procedures performed at our clinic. We compared 20 similar cases, half where revascularization was undertaken using mini-laparotomy and half where conventional laparotomy was selected. From our findings we conclude that mini-laparotomy is safe and reliable for aortobifemoral bypass procedures and has several advantages over traditional techniques; namely, shorter operating time, earlier resumption of intestinal function, shorter duration of in-patient stay and reduced costs.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Dokuz Eylul University, School of Medicine, Izmir, Turkey. silistreli@yahoo.com
authors.forename: E
authors.initials: E
authors.lastname: Silistreli
authors.forename: H
authors.initials: H
authors.lastname: Catalyürek
authors.forename: O
authors.initials: O
authors.lastname: Karabay
authors.forename: H
authors.initials: H
authors.lastname: Hepağuşlar
authors.forename: U
authors.initials: U
authors.lastname: Açikel
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D003362:Cost-Benefit Analysis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000191:economics; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000191:economics* / Q000379:methods; D014656:Vascular Surgical Procedures / Q000191:economics* / Q000379:methods