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Techniques in Coloproctology

, Volume 18, Issue 9, pp 835–839 | Cite as

Comparison of hospital costs for single-port and conventional laparoscopic colorectal resection: a case-matched study

  • B. Sulu
  • E. Gorgun
  • E. Aytac
  • M. M. Costedio
  • R. P. Kiran
  • F. H. Remzi
Original Article

Abstract

Background

Whether single-port laparoscopic (SPL) colorectal resection is cost-effective in comparison to conventional laparoscopy remains unclear. The aim of this study is to compare hospital costs for single-port versus conventional laparoscopic colorectal resections.

Methods

Patients with available cost data who underwent (SPL) colorectal resection between December 2007 and December 2010 were matched with conventional (multiport) laparoscopic (CL) counterparts for age, gender, American Society of Anesthesiologists score, body mass index, operation type and year of surgery. Patients who underwent hand-assisted laparoscopic surgery were not included in the study. Direct hospital costs for the two groups were compared.

Results

There were 90 patients in the SPL group and 90 patients in the CL group. Age (p = 0.79), gender (p = 0.88), body mass index (p = 0.82), American Society of Anesthesiologists score (p = 1) and diagnosis (p = 0.85) were similar in both groups. Operation type (p = 1), estimated blood loss (p = 0.17) and length of hospital stay (p = 0.06) were comparable between the groups. Operation time was significantly shorter in the SPL group (p < 0.001), thus anesthesia cost was significantly lower in this group (p = 0.003). Total costs (p = 0.5), operating room (p = 0.65), nursing (p = 0.13), pharmacy (p = 0.6), radiology (p = 0.27), professional (p = 0.38) and pathology/laboratory (p = 0.46) costs were similar between the two groups.

Conclusions

Single-port laparoscopic colorectal resection can be performed with comparable hospital costs to conventional multiport laparoscopy.

Keywords

Single-port Conventional laparoscopy Cost Colorectal resection 

Notes

Acknowledgments

This study was supported by the Ed and Joey Story Endowed Chair in Colorectal Surgery.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • B. Sulu
    • 1
  • E. Gorgun
    • 1
  • E. Aytac
    • 1
  • M. M. Costedio
    • 1
  • R. P. Kiran
    • 1
  • F. H. Remzi
    • 1
  1. 1.Department of Colorectal Surgery, Digestive Disease InstituteCleveland ClinicClevelandUSA

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