Cost assessment of instruments for single-incision laparoscopic cholecystectomy

TY - JOUR

T1 - Cost assessment of instruments for single-incision laparoscopic cholecystectomy

AU - Henriksen, Nadia A

AU - Al-Tayar, Haytham

AU - Rosenberg, Jacob

AU - Jorgensen, Lars Nannestad

PY - 2012/7

Y1 - 2012/7

N2 - Background and Objectives: Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed as conventional laparoscopic 4-port cholecystectomy or as single-incision laparoscopic cholecystectomy. Methods: Two consecutive series of patients undergoing single-incision laparoscopic cholecystectomy were assessed: (1) single-incision cholecystectomy using a commercially available multichannel port (n=80) and (2) a modified single-incision cholecystectomy using 2 regular trocars inserted through the umbilicus (n=20) with transabdominal sutures for gallbladder mobilization (puppeteering technique). Patients who underwent conventional 4-port cholecystectomy during the same time period (n=100) were selected as controls. Results: The instrumental cost of the single-incision cholecystectomy using a commercial port was significantly higher (median, $1123) than the cost for conventional 4-port (median $441, P <.0005) and modified singleincision cholecystectomy (median $342, P <.0005). The cost of the modified single-incision procedure was significantly lower than that for the 4-port cholecystectomy (P <.0005). Conclusion: The modified single-incision procedure using 2 regular ports inserted through the umbilicus can be performed at lower cost than conventional 4-port cholecystectomy.

AB - Background and Objectives: Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed as conventional laparoscopic 4-port cholecystectomy or as single-incision laparoscopic cholecystectomy. Methods: Two consecutive series of patients undergoing single-incision laparoscopic cholecystectomy were assessed: (1) single-incision cholecystectomy using a commercially available multichannel port (n=80) and (2) a modified single-incision cholecystectomy using 2 regular trocars inserted through the umbilicus (n=20) with transabdominal sutures for gallbladder mobilization (puppeteering technique). Patients who underwent conventional 4-port cholecystectomy during the same time period (n=100) were selected as controls. Results: The instrumental cost of the single-incision cholecystectomy using a commercial port was significantly higher (median, $1123) than the cost for conventional 4-port (median $441, P <.0005) and modified singleincision cholecystectomy (median $342, P <.0005). The cost of the modified single-incision procedure was significantly lower than that for the 4-port cholecystectomy (P <.0005). Conclusion: The modified single-incision procedure using 2 regular ports inserted through the umbilicus can be performed at lower cost than conventional 4-port cholecystectomy.

U2 - 10.4293/108680812X13427982377021

DO - 10.4293/108680812X13427982377021

M3 - Journal article

C2 - 23318059

SN - 1086-8089

VL - 16

SP - 353

EP - 359

JO - Journal of the Society of Laparoendoscopic Surgeons

JF - Journal of the Society of Laparoendoscopic Surgeons

IS - 3

ER -