, Volume 25, Issue 3, pp 990-992
Date: 29 Jul 2010

Cost-effectiveness analyses of laparoscopic versus open surgery

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access
This is an excerpt from the content

In the context of the current economic crisis and rapidly growing public health costs, the report by Chatterjee et al. in the May issue of Surgical Endoscopy [1] is interesting and timely. The authors looked at whether consideration of opportunity costs such as operating time increases the true overall costs of laparoscopic versus open colectomy.

With high-quality evidence from randomized controlled trials (RCTs) and meta-analyses for the superiority of laparoscopic over open colectomy for colon cancer [2], indications for laparoscopic surgery have evolved rapidly over recent years to include other major cancers such as gastric cancer and rectal cancer [310]. Given that these cancers will continue to be common and a major health problem in the industrialized world in the decades to come, cost-effectiveness analysis is important for health systems.

However, calculation of costs, benefits and risks of surgical innovation is a very difficult task. Multiple factors influence conclusions on