title: Costs of laparoscopic and open liver and pancreatic resection: a systematic review.
abstract: OBJECTIVE
  To study costs of laparoscopic and open liver and pancreatic resections, all the compiled data from available observational studies were systematically reviewed.
  
  
  METHODS
  A systematic review of the literature was performed using the Medline, Embase, PubMed, and Cochrane databases to identify all studies published up to 2013 that compared laparoscopic and open liver [laparoscopic hepatic resection (LLR) vs open liver resection (OLR)] and pancreatic [laparoscopic pancreatic resection (LPR) vs open pancreatic resection] resection. The last search was conducted on October 30, 2013.
  
  
  RESULTS
  Four studies reported that LLR was associated with lower ward stay cost than OLR (2972 USD vs 5291 USD). The costs related to equipment (3345 USD vs 2207 USD) and theatre (14538 vs 11406) were reported higher for LLR. The total cost was lower in patients managed by LLR (19269 USD) compared to OLR (23419 USD). Four studies reported that LPR was associated with lower ward stay cost than OLR (6755 vs 9826 USD). The costs related to equipment (2496 USD vs 1630 USD) and theatre (5563 vs 4444) were reported higher for LPR. The total cost was lower in the LPR (8825 USD) compared to OLR (13380 USD).
  
  
  CONCLUSIONS
  This systematic review support the economic advantage of laparoscopic over open approach to liver and pancreatic resection.
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Limongelli
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Vitiello
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Belli
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Madhava
authors.initials: M
authors.lastname: Pai
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Tolone
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Gianmattia
authors.initials: G
authors.lastname: Del Genio
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Brusciano
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Docimo
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Nagy
authors.initials: N
authors.lastname: Habib
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Belli
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Long Richard
authors.initials: LR
authors.lastname: Jiao
authors.affiliation: Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy.
authors.forename: Ludovico
authors.initials: L
authors.lastname: Docimo
mesh_terms: D017046:Cost Savings; D003362:Cost-Benefit Analysis; D006498:Hepatectomy / Q000191:economics* / Q000379:methods; D017721:Hospital Costs; D006801:Humans; D010535:Laparoscopy / Q000191:economics* / Q000379:methods; D010180:Pancreatectomy / Q000191:economics* / Q000379:methods; D016896:Treatment Outcome
keywords: Hepatobiliary resection; Laparoscopic hepatic resection; Laparoscopic pancreatic resection; Open liver resection; Open pancreatic resection