Comparisons of financial and short-term outcomes between laparoscopic and open hepatectomy: Benefits for patients and hospitals

Yoshikuni Kawaguchi, Yuichiro Otsuka, Hironori Kaneko, Motoki Nagai, Yukihiro Nomura, Mariko Yamamoto, Masahide Otani, Yuichi Ohashi, Kotaro Sugawara, Daisuke Koike, Takashi Ishida, Norihiro Kokudo, Nobutaka Tanaka

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

Purposes: This retrospective analysis compared the cost outcomes for both patients and hospitals, as well as the short-term outcomes, for laparoscopic hepatectomy (LH) and open hepatectomy (OH). Methods: The subjects comprised 70 patients who underwent LH or OH. The total hospital charge was calculated using the Japanese lump-sum payment system according to the diagnosis procedure combination. Results: Of the 70 patients, 10 in the LH group and 16 in the OH group underwent primary single limited/anatomic resection or left lateral sectoriectomy. The operation time, blood loss, and postoperative complications did not differ significantly between the two groups. The median [range] time of inflow occlusion was significantly longer [120 (50- 194) vs. 57 (17-151) min, P = 0.03] and the postoperative hospital stay was significantly shorter [5 (4-6) vs. 9 (5-12) days, P < 0.01] in the LH group than in the OH group, respectively. The mean ± standard deviation surgical costs (1307 ± 596 vs. 1054 ± 365 US$, P = 0.43) and total hospital charges (12046 ± 1174 vs. 11858 ± 2096 US$, P > 0.99) were similar in the LH and OH groups, respectively, although the charges per day were significantly higher in the LH group than in the OH group (1388 ± 217 vs. 1016 ± 134 US$, P < 0.01). Conclusions: The costs to patients for LH are similar to those for OH. However, LH provides a financial advantage to hospitals due to a reduced hospital stay and comparable surgical costs.

Original languageEnglish
Pages (from-to)535-542
Number of pages8
JournalSurgery Today
Volume46
Issue number5
DOIs
Publication statusPublished - 30-05-2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

Fingerprint

Dive into the research topics of 'Comparisons of financial and short-term outcomes between laparoscopic and open hepatectomy: Benefits for patients and hospitals'. Together they form a unique fingerprint.

Cite this