TY - JOUR
T1 - Open versus laparoscopic cholecystectomy
T2 - an initial analysis.
AU - Gilchrist, B. F.
AU - Vlessis, A. A.
AU - Kay, G. A.
AU - Swartz, K.
AU - Dennis, D.
PY - 1991/8
Y1 - 1991/8
N2 - Laparoscopic cholecystectomy is a new procedure in the armamentarium of the general surgeon. Its utility was investigated by comparison to open cholecystectomy in terms of procedure time, complications, hospital stay, and total hospital cost. Procedure time was approximately 200% longer with a higher incidence of intraoperative stone and bile spillage (17%) in the laparoscopic group. Hospital stay was reduced by 60% using the laparoscopic technique. No difference in total hospital cost existed between the two groups. The learning curve had an affect on hospital costs, which will decrease as more experience is gained with this procedure. Although laparoscopic cholecystectomy, at least initially, has no cost advantage over open cholecystectomy, laparoscopic cholecystectomy may be preferred by patients seeking shorter hospital stays and presumably shorter total recovery time.
AB - Laparoscopic cholecystectomy is a new procedure in the armamentarium of the general surgeon. Its utility was investigated by comparison to open cholecystectomy in terms of procedure time, complications, hospital stay, and total hospital cost. Procedure time was approximately 200% longer with a higher incidence of intraoperative stone and bile spillage (17%) in the laparoscopic group. Hospital stay was reduced by 60% using the laparoscopic technique. No difference in total hospital cost existed between the two groups. The learning curve had an affect on hospital costs, which will decrease as more experience is gained with this procedure. Although laparoscopic cholecystectomy, at least initially, has no cost advantage over open cholecystectomy, laparoscopic cholecystectomy may be preferred by patients seeking shorter hospital stays and presumably shorter total recovery time.
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U2 - 10.1089/lps.1991.1.193
DO - 10.1089/lps.1991.1.193
M3 - Article
C2 - 1834268
AN - SCOPUS:0026212085
SN - 1052-3901
VL - 1
SP - 193
EP - 196
JO - Journal of laparoendoscopic surgery
JF - Journal of laparoendoscopic surgery
IS - 4
ER -