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Single center cost analysis of single-port and conventional laparoscopic surgical treatment in colorectal malignant diseases

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background and purpose

Single-port laparoscopy (SPL) is a relatively new technique, used in various procedures. There is limited knowledge about the cost effectiveness and the learning curve of this technique. The primary aim of this study was to compare hospital costs between SPL and conventional laparoscopic resections (CLR) for colorectal cancer; the secondary aim was to identify a learning curve of SPL.

Methods

All elective colorectal cancer SPL and CLR performed in a major teaching hospital between 2011 and 2012 that were registered in the Dutch Surgical Colorectal Audit were included (n = 267). The economic evaluation was conducted from a hospital perspective, and costs were calculated using time-driven activity-based costing methodology up to 90 days after discharge. When looking at SPL only, the introduction year (2011) was compared to the next year (2012).

Results

SPL (n = 78) was associated with lower mortality, lower reintervention rates, and more complications as compared to CLR (n = 189); however, none of these differences were statistically significant. A significant shorter operating time was seen in the SPL. Total costs were higher for SPL group as compared to CLR; however, this difference was not statistically significant. For the SPL group, most clinical outcomes improved between 2011 and 2012; moreover, total hospital costs for SPL in 2012 became comparable to CLR.

Conclusion

No significant differences in financial outcomes between SPL and CLR were identified. After the introduction period, SPL showed similar results as compared to CLR. Conclusions are based on a small single-port group and the conclusions of this manuscript should be an impetus for further research.

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Acknowledgments

All authors participated sufficiently to the content of this manuscript. No acknowledgements.

Author information

Authors and Affiliations

  1. Department of General Surgery Resident, Jeroen Bosch Hospital, P.O. Box 90153, 5200 ME, ‘s Hertogenbosch, The Netherlands

    Yoen T.K. van der Linden, Daniel J. Lips & Hubert A. Prins

  2. Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands

    Yoen T.K. van der Linden

  3. Department of Surgery, Groene Hart Ziekenhuis, Gouda, The Netherlands

    Johannes A. Govaert

  4. Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands

    Johannes A. Govaert

  5. Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands

    Marta Fiocco

  6. Leiden University Mathematical Institute, Leiden, The Netherlands

    Marta Fiocco

  7. Performation, Bilthoven, The Netherlands

    Wouter A. van Dijk

  8. X-IS, Delft, The Netherlands

    Wouter A. van Dijk

Authors
  1. Yoen T.K. van der Linden
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  2. Johannes A. Govaert
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  3. Marta Fiocco
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  4. Wouter A. van Dijk
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  5. Daniel J. Lips
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  6. Hubert A. Prins
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Corresponding author

Correspondence to Yoen T.K. van der Linden.

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Disclosure

Yoen van der Linden, Johannes Govaert, Marta Fiocco, Wouter van Dijk, Daniel Lips, and Hubert Prins have no conflicts of interest or financial ties to disclose.

Conflicts of interest

The authors declare that they have no conflicts of interest.

Additional information

Yoen T.K. van der Linden and Johannes A. Govaert contributed equally to the manuscript

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van der Linden, Y.T., Govaert, J.A., Fiocco, M. et al. Single center cost analysis of single-port and conventional laparoscopic surgical treatment in colorectal malignant diseases. Int J Colorectal Dis 32, 233–239 (2017). https://doi.org/10.1007/s00384-016-2692-5

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  • DOI: https://doi.org/10.1007/s00384-016-2692-5

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