Laparosocopic Appendectomy, Cost-Effectiveness of Three Different Techniques Used to Close the Appendix Stump

• Authors: Maciej Matyja , Marcin Strzałka , Kazimierz Rembiasz
• Languages of publication: EN

Abstracts

EN

It is generally agreed that laparoscopic appendectomy is a valuable operative method.The aim of the study was to evaluate cost-effectiveness of three different techniques used to close the appendix stump.Material and methods. We conducted a retrospective study that compared three groups of patients who were operated on laparoscopically for acute appendicitis in 2013 at our institution. We used an endoscopic clip to close the appendix stump in the first group (n=20), endoscopic stapler was applied in the second group (n=20), and in the third group of patients the appendix base was closed with a laparoscopic suture (n=20). These groups were matched by age, sex and BMI.Results. The average operative cost was the highest in the second group. Cost of the laparoscopic appendectomy with the application of the endoscopic clip was significantly lower (first group) and comparable to the third group. Observed differences in total hospitalization costs were associated only with the chosen appendix stump closure technique.Conclusions. Clip closure of the appendix base is an easy and cost-effective procedure. The laparoscopic suture technique is the cheapest but technically demanding. According to our experience endoscopic stapler may be useful in some cases, although it is the most expensive method.

Keywords

EN

laparoscopic appendectomy; cost-effectiveness; results

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 12
• Pages: 634-637

Dates

published

1 - 12 - 2015

received

1 - 4 - 2016

online

10 - 3 - 2016

Contributors

author

Maciej Matyja

• 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz

author

Marcin Strzałka

• 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz

author

Kazimierz Rembiasz

• 2nd Department of General Surgery of the Jagiellonian University, Medical College in Cracow Kierownik: prof. dr hab. K. Rembiasz

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Identifiers

DOI

10.1515/pjs-2016-0015