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Economic Outcomes of Laparoscopic Versus Open Surgery for Colorectal Cancer in Korea

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Abstract

Purpose

To compare the economic outcomes of laparoscopic surgery (LAP) with those of open surgery (OS) for colorectal cancer.

Methods

We compared operating room (OR) costs, OR hospital-profits, total hospital charges, and payments made for 67 consecutive patients who underwent either OS (n = 41) or LAP (n = 26) for colorectal cancer.

Results

The operating time was longer in the LAP group (P < 0.001), but the hospital stay was shorter (P < 0.001). OR costs were higher in the LAP group, which was primarily attributed to the higher costs of consumables (LAP $1441, OS $575; P < 0.001) and the longer operating time (LAP 215 min, OS 155 min; P < 0.001). Total hospital charges were also higher after LAP (LAP $5017, OS $4093; P < 0.001). Patients paid more after LAP (P < 0.001), but there was no significant difference between the two groups in National Health Insurance Corporation payments.

Conclusion

Laparoscopic surgery is less cost-effective than OS for colorectal cancer. The higher costs of consumables and the longer operating time associated with LAP must be addressed to make LAP more cost-effective.

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Authors and Affiliations

  1. Department of Surgery, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, South Korea

    Yoo Shin Choi, Taek-Gu Lee & Sung-Bum Kang

  2. Department of Surgery, Chungnam National University College of Medicine, 6 Munhwa 1-dong, Jung-gu, Daejeon, 301-747, South Korea

    Sang-Il Lee

  3. Department of Cost Management, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, South Korea

    Sung-Wook Kim

  4. Department of Nursing Insurance, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, South Korea

    Guineum Cheon

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  1. Yoo Shin Choi
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  2. Sang-Il Lee
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  3. Taek-Gu Lee
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  4. Sung-Wook Kim
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  5. Guineum Cheon
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  6. Sung-Bum Kang
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Choi, Y., Lee, SI., Lee, TG. et al. Economic Outcomes of Laparoscopic Versus Open Surgery for Colorectal Cancer in Korea. Surg Today 37, 127–132 (2007). https://doi.org/10.1007/s00595-006-3356-9

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  • DOI: https://doi.org/10.1007/s00595-006-3356-9

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