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>Journals >Cirujano General >Year 2002, Issue 4


Soto GM, Valencia RJA
Saving costs in laparoscopic surgery
Cir Gen 2002; 24 (4)

Language: Español
References: 5
Page: 292-294
PDF: 4. Kb.


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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.


Key words: Laparoscopic cholecystectomy, costs, reusable material, disposable material.


REFERENCIAS

  1. Reddick EJ. Historia de la cirugía laparoscópica. De dónde venimos, dónde estamos, y hacia dónde vamos. Rev Mex Cir Endosc 2001; 2: 36-9.

  2. Cervantes J. Cirugía laparoscópica. Mitos y realidades. Cir Gen 1995; 17: 212-5.

  3. Asbuan JH, Rossi LR. Técnicas para colecistectomía laparoscópica: la operación difícil. Clin Quir Norteam 1994; 74: 799-820.

  4. Shuchleib S, Chousleb A, Mondragón A, Torices E, Licona A. Exploración laparoscópica de las vías biliares. Rev Mex Cir Endosc 2001; 2: 6-10.

  5. Dávila Avila F, Dávila Avila U, Montero Pérez JJ, Lemus Allende J, López Atzin FX, Villegas J. Colecistectomia laparoscópica con un solo puerto visible subxifoideo de 5 mm. Rev Mex Cir Endosc 2001; 2: 16-20.






>Journals >Cirujano General >Year 2002, Issue 4
 

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