Bare bones laparoscopy: A randomized prospective trial of cost savings in laparoscopic cholecystectomy

Matthew R. Brackman, Eva Foley, Jesus Esquivel, Marc E. Boisvert, Sallie Davis, Enrique Daza, John R. Kirkpatrick, Frederick C. Finelli

Research output: Contribution to journalArticle

Abstract

Objective: Rising costs and lowered reimbursements make value essential if laparoscopic cholecystectomy (LC) is to be offered to patients without condemning providers to financial loss. We hypothesize that our protocol increases this value. Once practiced, operative time, complications, and patient satisfaction compare with those of the typical method. Methods: We prospectively randomized 50 consecutive patients equally to control or experimental LC according to our protocol. Equipment costs, operative time, conversions, complications, pain, and return to work were compared. The student's t test was used for comparisons. Results: Mean disposable equipment costs were $173.00 ± $43.45 and $434.42 ± $50.54 for the study and control groups, respectively (P < .0001). Mean operative times were 67.26 ± 15 and 70.60 ± 19 minutes, respectively. Conclusions: The "bare bones" protocol is safe. It has a short learning curve, demonstrates a cost advantage over the common method, and requires no additional operative time. Pain, time to return to work, and satisfaction are equivalent.

Original languageEnglish (US)
Pages (from-to)411-417
Number of pages7
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume12
Issue number6
DOIs
StatePublished - Dec 1 2002

ASJC Scopus subject areas

  • Surgery

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    Brackman, M. R., Foley, E., Esquivel, J., Boisvert, M. E., Davis, S., Daza, E., Kirkpatrick, J. R., & Finelli, F. C. (2002). Bare bones laparoscopy: A randomized prospective trial of cost savings in laparoscopic cholecystectomy. Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, 12(6), 411-417. https://doi.org/10.1089/109264202762252677