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Cost analysis comparing ultrasonic fundus-first and conventional laparoscopic cholecystectomy using electrocautery
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
2013 (English)In: Surgical Endoscopy, ISSN 0930-2794, E-ISSN 1432-2218, Vol. 27, no 8, 2856-2859 p.Article in journal (Refereed) Published
Abstract [en]

Costs associated with laparoscopic fundus-first cholecystectomy using ultrasonic dissection versus a conventional laparoscopic cholecystectomy has not been compared. Adult patients subjected to elective laparoscopic cholecystectomy between June 2002 and March 2004 were randomized to either an ultrasonic fundus-first dissection or dissection from the triangle of Calot with electrocautery. Differences in direct and indirect costs related to either technique were studied. The duration of the operation and hospitalization was longer when dissection was with the conventional technique. With the ultrasonic fundus-first technique, the direct cost was 1,190 SEK lower, and the total cost, taking also the cost for sick leave into account, was 5,370 SEK lower. Both direct and indirect costs are lower with a laparoscopic fundus-first cholecystectomy using ultrasonic dissection than conventional laparoscopic cholecystectomy using electrocautery.

Place, publisher, year, edition, pages
2013. Vol. 27, no 8, 2856-2859 p.
Keyword [en]
Laparoscopic cholecystectomy, Ultrasonic dissection, Electrocautery, Electrosurgical energy, Fundus first, Cost analysis
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URN: urn:nbn:se:umu:diva-79895DOI: 10.1007/s00464-013-2841-7ISI: 000321961700026OAI: diva2:645876
Available from: 2013-09-05 Created: 2013-09-04 Last updated: 2013-09-05Bibliographically approved

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Cengiz, Yucel
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