Medical & Surgical Urology
Open Access
ISSN: 2168-9857
+44-20-4587-4809
ISSN: 2168-9857
+44-20-4587-4809
Chad A LaGrange
Hospital Division of Urologic Surgery, Edward and Sally Malashock Chair of Urology,
5005 Swanson Hall, Omaha, NE 68198-2360
Tanzania
Research Article
Single-Site Laparoscopic Nephrectomy: Is It Cost-Effective?
Author(s): Elizabeth A Piontek, Bernadette McCrory, Justin D Johnson, Jacob M Oran and Chad A LaGrangeElizabeth A Piontek, Bernadette McCrory, Justin D Johnson, Jacob M Oran and Chad A LaGrange
Background: With the emergence of Laparoendoscopic Single-Site Surgery (LESS) and its potential patient benefits, a cost comparison was conducted to enable informed decision-making for the selection of minimally invasive surgical approach type for nephrectomy.
Methods: A literature-based cost comparison of Hand-Assisted Laparoscopic (HAL), Conventional Laparoscopic (LAP), and LESS nephrectomies was conducted to determine whether the benefits of LESS offset the expense of this new technique and its expensive technologies. Using institutional rates the total cost of each approach was determined by summing the costs of instrumentation unique to each approach, Operative Time (OT) and patient length of stay (LOS). One-way and two-way sensitivity analyses were performed varying each of the costs to determine Cost-equivalence thresholds across the .. View More»
DOI:
10.4172/2168-9857.1000117