A cost effective analysis of a laparoscopic versus an open left lateral sectionectomy in a liver transplant unit

Abstract

LLLS is a significantly cost effective operation compared with an open approach with a reduction in hospital stay. In addition, it is suitable to use as a training operation.

The comparative costs of laparoscopic and open liver resection: a report for the 2nd International Consensus Conference on Laparoscopic Liver Resection

“…Nine series described a predominantly pure laparoscopic approach to hepatic resection, while one center [13] employed a hand-assisted laparoscopic approach for all cases. Four papers analyzed the outcomes of laparoscopic (LLLS) versus open left lateral sectionectomy (OLLS) [11,[14][15][16]. Abu Hilal et al [17] provided separate comparisons for LLLS versus OLLS and open (ORH) versus laparoscopic right hepatectomy (LRH).…”

“…Three manuscripts either explicitly excluded converted cases or were not included in the analysis [15,19,20], while one manuscript analyzed converted cases in the open group [12]. In the remaining manuscripts, converted cases were considered on an intention-totreat basis and were analyzed in the laparoscopic group.…”

Cost implications and oncological outcomes for laparoscopic versus open surgery for right hemicolectomy

“…These findings have also been reported in studies for liver and pancreatic surgery. 12,13 Our study was performed in a centre that has a high proportion of laparoscopic resections; even among emergency surgery cases, 40% of patients receive a laparoscopic operation. Despite this experience in laparoscopic surgery, the cost of a laparoscopic operation was greater than that of an open operation, which is in contrast to the findings in other recent publications.…”

Economic Evaluation of Medical Devices

“…Although there has been an extensive review of the impact of learning curves on outcomes (Ramsay et al, 2001), there have been very few assessments on the impact of learning curves on resource use or costs. See van Gestel et al 2013, Bell et al (2015) and Margier et al (2015) for recent examples.…”