title: Comparison of hospital costs for single-port and conventional laparoscopic colorectal resection: a case-matched study.
abstract: BACKGROUND
  Whether single-port laparoscopic (SPL) colorectal resection is cost-effective in comparison to conventional laparoscopy remains unclear. The aim of this study is to compare hospital costs for single-port versus conventional laparoscopic colorectal resections.
  
  
  METHODS
  Patients with available cost data who underwent (SPL) colorectal resection between December 2007 and December 2010 were matched with conventional (multiport) laparoscopic (CL) counterparts for age, gender, American Society of Anesthesiologists score, body mass index, operation type and year of surgery. Patients who underwent hand-assisted laparoscopic surgery were not included in the study. Direct hospital costs for the two groups were compared.
  
  
  RESULTS
  There were 90 patients in the SPL group and 90 patients in the CL group. Age (p = 0.79), gender (p = 0.88), body mass index (p = 0.82), American Society of Anesthesiologists score (p = 1) and diagnosis (p = 0.85) were similar in both groups. Operation type (p = 1), estimated blood loss (p = 0.17) and length of hospital stay (p = 0.06) were comparable between the groups. Operation time was significantly shorter in the SPL group (p < 0.001), thus anesthesia cost was significantly lower in this group (p = 0.003). Total costs (p = 0.5), operating room (p = 0.65), nursing (p = 0.13), pharmacy (p = 0.6), radiology (p = 0.27), professional (p = 0.38) and pathology/laboratory (p = 0.46) costs were similar between the two groups.
  
  
  CONCLUSIONS
  Single-port laparoscopic colorectal resection can be performed with comparable hospital costs to conventional multiport laparoscopy.
authors.affiliation: Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Desk A-30/9500 Euclid Ave., Cleveland, OH, 44195, USA.
authors.forename: B
authors.initials: B
authors.lastname: Sulu
authors.forename: E
authors.initials: E
authors.lastname: Gorgun
authors.forename: E
authors.initials: E
authors.lastname: Aytac
authors.forename: M M
authors.initials: MM
authors.lastname: Costedio
authors.forename: R P
authors.initials: RP
authors.lastname: Kiran
authors.forename: F H
authors.initials: FH
authors.lastname: Remzi
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000191:economics; D003082:Colectomy / Q000191:economics* / Q000379:methods; D015179:Colorectal Neoplasms / Q000191:economics / Q000601:surgery*; D003107:Colorectal Surgery / Q000191:economics; D004180:Direct Service Costs / Q000706:statistics & numerical data; D016527:Drug Costs; D005260:Female; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000191:economics / Q000601:surgery; D007755:Laboratories, Hospital / Q000191:economics; D010535:Laparoscopy / Q000191:economics* / Q000379:methods*; D007902:Length of Stay / Q000191:economics; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000191:economics; D009873:Operating Rooms / Q000191:economics; D061646:Operative Time; D011871:Radiology / Q000191:economics
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