Is intraoperative cholangiography during laparoscopic cholecystectomy cost effective?

被引：25

作者：

Podnos, YD ^{[1
]}

Gelfand, DV ^{[1
]}

Dulkanchainun, TS ^{[1
]}

Wilson, SE ^{[1
]}

Cao, S ^{[1
]}

Ji, P ^{[1
]}

Ortiz, JA ^{[1
]}

Imagawa, DK ^{[1
]}

机构：

[1] Univ Calif Irvine, Med Ctr, Div Transplantat, Dept Surg, Orange, CA 92868 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2001年 / 182卷 / 06期

关键词：

intraoperative cholangiography; laparoscopic cholecystectomy; cost analysis; common bile duct injuries;

D O I：

10.1016/S0002-9610(01)00808-X

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Common bile duct injuries occur in 0.2% to 0.8% of laparoscopic cholecystectomies (LC). Intraoperative cholangiograms (IOCG) are a useful means of detecting common bile duct injuries in the operating room. Methods: Data were retrospectively reviewed for patients referred for management of common duct injuries from 1996 to 2000. Cost data were obtained from hospital records. Legal settlements were obtained from published sources. Results: Twenty-one patients (0.133%) were found to have bile duct injuries and incurred median hospital stays of 11.5 days at an average cost of $587,491. The average cost of those requiring reoperation was $669,134. The 21 cases in our sample had total charges of $10,819,767. Performing IOCG during each LC in Orange County would have cost $10,669,725. If extrapolated to state and nationwide levels, the savings is far greater. Conclusions: IOCG during LC is a cost-effective means of preventing the costs of delayed recognition of bile duct injuries. (C) 2002 Excerpta Medica, Inc. All rights reserved.

引用

页码：663 / 669

页数：7

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