Abstract
Background
The outcomes of laparosopic and conventional colorectal surgery, with special reference to costs of treatment and patients' quality of life, were compared.
Methods
A partly retrospective cohort study was designed to assess the use of resources, and a follow-up interview was undertaken to evaluate patients' quality of life after both to define laparoscopic (LAP) and conventional (CON) surgery.
Results
The length of hospital stay was significantly lower in the LAP group (median, 11 days; interquartile range [IQR], 9–15) than in the CON group (median, 16 days; IQR, 13–23; p < 0.0001), which is reflected in lower costs of hospitalization calculated for the three most frequent surgical interventions. Statistically significant improvements were noted between the median scores in the domains of physical functioning (LAP 85 vs CON 68; p < 0.05) and vitality (LAP 85 vs CON 69; p < 0.05).
Conclusion
Laparoscopy is a promising alternative for the treatment of patients with colorectal diseases, offering lower costs and a better quality of life in the long term.
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References
M Braga A Vignali L Gianotti W Zuliani G Radaelli P Gruarin P Dellabona V Di Carlo (2002) ArticleTitleLaparoscopic versus open colorectal surgery: a randomized trial on short-term outcome Ann Surg. 236 759–766 Occurrence Handle10.1097/00000658-200212000-00008 Occurrence Handle12454514
J Brazier (1995) ArticleTitleThe Short-Form 36 (SF-36) health survey and its use in pharmacoeconomic evaluation Pharmacoeconomics 5 403–415
J Camilleri-Brennan RJ Steele (2001) ArticleTitleProspective analysis of quality of life and survival following mesorectal excision for rectal cancer Br J Surg 88 1617–1622 Occurrence Handle10.1046/j.0007-1323.2001.01933.x Occurrence Handle11736975
M Charlson P Pompei K Ales R MacKenzie (1987) ArticleTitleA new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chron Dis 40 373–383 Occurrence Handle10.1016/0021-9681(87)90171-8 Occurrence Handle3558716
D Christen P Buchmann (1996) ArticleTitleSources of hazards in laparoscopic colon surgery and how to avoid them Swiss Surg 5 203–207
Krankenhausberatungs- und Prüfungsgesellschaft GmbH, Organisations- und Strukturanalyse der Operationsabteilung, Buxtehude
A Lacy JC Garcia-Valdecasas S Delgado A Castells P Taurà JM Piqué J Visa (2002) ArticleTitleLaparoscopy-assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial Lancet 359 2224–2229 Occurrence Handle10.1016/S0140-6736(02)09290-5 Occurrence Handle12103285
E Lezoche F Feliciotti AM Paganini M Guerrieri R Campagnacci A Sanctis ParticleDe (2000) ArticleTitleLaparoscopic colonic resection versus open surgery: a prospective nonrandomized study on 310 unselected cases Hepatogastroenterology 47 697–708 Occurrence Handle10919014
JT Liang MJ Sheih CN Chen YM Cheng KJ Chang SM Wang (2002) ArticleTitleProspective evaluation of laparoscopy-assisted colectomy versus laparotomy with resection for management of complex polyps of the sigmoid colon World J Surg 26 377–383 Occurrence Handle10.1007/s00268-001-0235-9 Occurrence Handle11865378
MA Liberman EH Phillips BJ Carroll M Fallas R Rosenthal (1996) ArticleTitleLaparoscopic colectomy vs traditional colectomy for diverticulitis: outcome and costs Surg Endosc 10 15–18 Occurrence Handle10.1007/s004649910002 Occurrence Handle8711597
J Psaila H Bulley P Ewings JP Sheffield RH Kennedy (1998) ArticleTitleOutcome following laparoscopic resection for colorectal cancer Br J Surg 85 662–664 Occurrence Handle10.1046/j.1365-2168.1998.00634.x Occurrence Handle9635817
AJ Senagore HJ Duepree CP Delaney S Dissanaike KM Brady (2002) ArticleTitleCost structure of laparoscopic and open sigmoid colectomy diverticular disease: similarities and differences Dis Colon Rectum 45 485–490 Occurrence Handle10.1007/s10350-004-6225-x Occurrence Handle12006930
Spitalleistungs-Katalog, Schweiz 1997
JG Stage S Schulze P Mooller Overgaard M Andersen VB Rebsdorf-Pedersen HJ Nielsen (1997) ArticleTitleProspective randomized study of laparoscopic versus open colonic resection for adenocarcinoma Br J Surg 84 391–396 Occurrence Handle10.1046/j.1365-2168.1997.02516.x Occurrence Handle9117320
LW Traverso (1996) ArticleTitleTechnology and surgery: dilemma of the gimmick, true advances, and cost effectiveness Surg Clin North Am 76 129–138 Occurrence Handle10.1016/S0039-6109(05)70427-8 Occurrence Handle8629196
V Velanovich (2000) ArticleTitleLaparoscopic vs open surgery: a preliminary comparison of quality-of-life-outcomes Surg Endosc 14 16–21 Occurrence Handle10.1007/s004649900003 Occurrence Handle10653229
J Ware CD Sherbourne (1992) ArticleTitleThe MOS 36-Item short-form health survey (SF-36) Med Care 30 473–483 Occurrence Handle1593914
J Weeks H Nelson S Gelber D Sargent G Schroeder (2002) ArticleTitleShort-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer JAMA 287 321–328 Occurrence Handle10.1001/jama.287.3.321 Occurrence Handle11790211
Acknowlegments
The authors thank Dr. Adam Lowy for his great help and valuable comments, and Mrs. Daniela Mueller for the data management. They are especially grateful to the Vontobel Foundation for its generous financial support.
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Sokolovic, E., Buchmann, P., Schlomowitsch, F. et al. Comparison of resource utilization and long-term quality-of-life outcomes between laparoscopic and conventional colorectal surgery. Surg Endosc 18, 1663–1667 (2004). https://doi.org/10.1007/s00464-003-9168-8
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DOI: https://doi.org/10.1007/s00464-003-9168-8