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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2013

Open Access 01-12-2013 | Research article

Laparoscopic appendectomy: quality care and cost-effectiveness for today’s economy

Authors: David Costa-Navarro, Montiel Jiménez-Fuertes, Azahara Illán-Riquelme

Published in: World Journal of Emergency Surgery | Issue 1/2013

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Abstract

Background

Open appendectomy (OA) has traditionally been the treatment for acute appendicitis (AA). Beneficial effects of laparoscopic appendectomy (LA) for the treatment of AA are still controversial.

Aim

To present our technique for LA and to determine whether LA should be the technique of choice of any case of AA instead of OA.

Material and methods

All cases operated for AA (February 2011 through February 2012) by means of LA or OA were prospectively evaluated. Data regarding length of stay, complications, emergency department consultation after discharge or readmission were collected. Patients were classified into four groups depending on the severity of the appendicitis. Economic data were obtained based on the cost of the disposable material. Cost of hospital stay was calculated based on the Ley de Tasas of the Generalitat Valenciana according to the DRG and the length of stay.

Results

One hundred and forty-two cases were included. Ninety-nine patients underwent OA and 43 LA. Average length of stay for LA group was 2,6 days and 3,8 for OA. Average cost of the stay for OA was 1.799 euros and 1.081 euros for LA. Global morbidity rate was 16%, 5% for LA and 20% for OA.

Conclusions

LA is nowadays the technique of choice for the treatment of AA.
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Metadata
Title
Laparoscopic appendectomy: quality care and cost-effectiveness for today’s economy
Authors
David Costa-Navarro
Montiel Jiménez-Fuertes
Azahara Illán-Riquelme
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2013
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-8-45

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