Academic Journal
Laparoscopic Versus Open Pancreatoduodenectomy: Cost-Effectiveness Analysis
| العنوان: | Laparoscopic Versus Open Pancreatoduodenectomy: Cost-Effectiveness Analysis |
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| المؤلفون: | Borie, Frederic, Pichy, Célia, Nayeri, Mihane, Fall, Seïla |
| المساهمون: | Institut Desbrest de santé publique (IDESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes) |
| المصدر: | ISSN: 1092-6429. |
| بيانات النشر: | HAL CCSD Mary Ann Liebert |
| سنة النشر: | 2022 |
| المجموعة: | Université de Montpellier: HAL |
| مصطلحات موضوعية: | Cost, Effectiveness, Laparoscopic, Laparotomy, Pancreatoduodenectomy, MESH: Cost-Benefit Analysis, MESH: Humans, MESH: Laparoscopy, MESH: Length of Stay, MESH: Operative Time, MESH: Pancreatic Neoplasms, MESH: Pancreaticoduodenectomy, MESH: Postoperative Complications, MESH: Retrospective Studies, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery |
| الوصف: | International audience ; Background and Objectives: The role of laparoscopy during a pancreatoduodenectomy (PD) is not clearly defined. The purpose of this study was thus to compare the cost-effectiveness between laparoscopic pancreatoduodenectomy (LPD) and open pancreatoduodenectomy (OPD). Materials and Methods: From 2010 to 2019, 140 patients underwent PD (60 LPD and 80 OPD). After 60-60 matching, the clinical-pathological characteristics, surgical technique, and type of rehabilitation were identical in both groups. Complications, R0 resection, and cost were compared. Results: Complication rates were 48% (12% Clavien-Dindo grade 3-4) in the LPD group and 64% (22% Clavien-Dindo grade 3-4) in the OPD group. The LPD group had significantly fewer pulmonary complications (6%) than the OPD group (20%) (P = .04). The oncological quality of the R0 resection did not differ between the two groups. The operating time was 312 ± 50 minutes in the OPD group and 392 ± 75 minutes in the LPD group (P < .001). The mean length of hospital stay was significantly shorter for the LPD group (13 ± 10) days compared to the OPD group (19 ± 8) days (P = .02). The average cost of total hospital stay was significantly lower for the LPD group compared to the OPD group (P = .02). Conclusions: Despite longer operative times, LPD had fewer (pulmonary) complications and reduced hospital costs. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/35833839; PUBMED: 35833839; WOS: 000827611600001 |
| DOI: | 10.1089/lap.2021.0606 |
| الاتاحة: | https://hal.science/hal-04069646 https://doi.org/10.1089/lap.2021.0606 |
| رقم الانضمام: | edsbas.F8B6770C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1089/lap.2021.0606 |
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