Resumen

URREJOLA S, GONZALO; GONZALEZ G, PILAR; STAMBUK M, JUAN  y  TALADRIZ R, CRISTIAN. Comparative costs of laparoscopic and open colorectal surgery. Rev Chil Cir [online]. 2009, vol.61, n.5, pp.438-442. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262009000500007.

Background: In Chile, laparoscopic surgery is not universally used for colorectal diseases due to its learning curve and high costs. However this last drawback may not be trae if all hospitalization costs are considered. Aim: To compare the costs of open and laparoscopic colonic excisión surgery. Material and Methods: Data for all elective colectomies performed during 2005 and 2006 were retrieved from hospital records. Procedures were classified as open or laparoscopic and the total costs associated to the hospital stay of each group of procedures was obtained from the accounting office of the hospital. Results: Twenty nine patients aged 31 to 88 years (16 males), were subjected to laparoscopic surgery and 39, aged 38 to 87 years (20 females), to open surgery. Seventy six percent of patients in the group of laparoscopic surgery were subjected to a left hemicolectomy and 54% of those in the group of open surgery, to a right hemicolectomy. Operative times were 188 ± 14 and 174 ± 44 min for open and laparoscopic surgery, respectively (NS). The item with higher costs for both groups was consumables, followed by hospitalization days. No differences in the total hospitalization costs were observed between the two groups of patients. Conclusions: Laparoscopic colorectal surgery does not have a higher economical cost than traditional open surgery.

Palabras clave : Diverticulitis; diverticular disease; laparoscopy.

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