Soto GM, Valencia RJA

Language: Spanish
References: 5
Page: 292-294
PDF size: 39.55 Kb.

ABSTRACT

Objective: To point out those aspects representing substantial economic savings in the laparoscopic cholecystectomy procedure.
Setting: Private Medical Unit
Design: Descriptive study.
Material and methods: In 50 patients subjected to laparoscopic cholecystectomy only reusable material and intra-corporeal sutures were used. We recorded the technical difficulties encountered by using reusable material, the additional surgical time derived from the intra-corporeal knots procedure, and trans- and post-operative complications due to their use. Finally, we determined the average savings derived from this type of surgical procedure.
Results: There were no relevant technical difficulties derived from the use of reusable material. In each surgery we used only one Vicryl® 3-0. The average additional time derived from having to make intra-corporeal knots was 10 min, their use represented no complications. The average savings by avoiding the use of disposable materials and staplers was of $1,262 USD for each laparoscopic cholecystectomy.
Conclusion: The systematic use of reusable material and intra-corporeal knots is safe and generates an important economic saving in the practice of laparoscopic cholecystectomy.

REFERENCES

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