Cost-effectiveness of minimally invasive intervention in aortofemoral revascularization

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Silistreli E. E., Catalyurek H. H., Karabay O., Hepaguslar H., Acikel U.

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, cilt.29, sa.5, ss.421-424, 2001 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 5
  • Basım Tarihi: 2001
  • Doi Numarası: 10.1177/147323000102900506
  • Dergi Adı: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.421-424
  • Anahtar Kelimeler: aortofemoral bypass, minimally invasive surgery, mini-laparotomy, cost-effectiveness, SURGERY
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Minimally invasive surgical procedures have become popular recently because they offer several advantages over conventional operative techniques. A person undergoing a minimally invasive procedure usually experiences less pain, is discharged earlier from hospital, returns to work sooner and has a less obtrusive postoperative scar. Excluding highly technical techniques (e.g. laparoscopic surgery), operations performed using mini-laparotomy are usually more cost-effective than conventional procedures, largely because they are less expensive to perform. Our paper investigates cost-effectiveness and other parameters relating to minimally invasive aortofemoral revascularization procedures performed at our clinic. We compared 20 similar cases, half where revascularization was undertaken using mini-laparotomy and half where conventional laparotomy was selected. From our findings we conclude that mini-laparotomy is safe and reliable for aortobifemoral bypass procedures and has several advantages over traditional techniques; namely, shorter operating time, earlier resumption of intestinal function, shorter duration of in-patient stay and reduced costs.