BACKGROUND: The outcomes of laparosopic and conventional colorectal surgery, with special reference to costs of treatment and patients' quality of life, were compared. METHODS: A partly retrospective cohort study was designed to assess the use of resources, and a follow-up interview was undertaken to evaluate patients' quality of life after both to define laparoscopic (LAP) and conventional (CON) surgery. RESULTS: The length of hospital stay was significantly lower in the LAP group (median, 11 days; interquartile range [IQR], 9-15) than in the CON group (median, 16 days; IQR, 13-23; p < 0.0001), which is reflected in lower costs of hospitalization calculated for the three most frequent surgical interventions. Statistically significant improvements were noted between the median scores in the domains of physical functioning (LAP 85 vs CON 68; p < 0.05) and vitality (LAP 85 vs CON 69; p < 0.05). CONCLUSION: Laparoscopy is a promising alternative for the treatment of patients with colorectal diseases, offering lower costs and a better quality of life in the long term.
BACKGROUND: The outcomes of laparosopic and conventional colorectal surgery, with special reference to costs of treatment and patients' quality of life, were compared. METHODS: A partly retrospective cohort study was designed to assess the use of resources, and a follow-up interview was undertaken to evaluate patients' quality of life after both to define laparoscopic (LAP) and conventional (CON) surgery. RESULTS: The length of hospital stay was significantly lower in the LAP group (median, 11 days; interquartile range [IQR], 9-15) than in the CON group (median, 16 days; IQR, 13-23; p < 0.0001), which is reflected in lower costs of hospitalization calculated for the three most frequent surgical interventions. Statistically significant improvements were noted between the median scores in the domains of physical functioning (LAP 85 vs CON 68; p < 0.05) and vitality (LAP 85 vs CON 69; p < 0.05). CONCLUSION: Laparoscopy is a promising alternative for the treatment of patients with colorectal diseases, offering lower costs and a better quality of life in the long term.
Authors: David P Eisenberg; Jane Wey; Philip Q Bao; Melissa Saul; Andrew R Watson; Wolfgang H Schraut; Kenneth K W Lee; A James Moser; Steven J Hughes Journal: Surg Endosc Date: 2010-02-21 Impact factor: 4.584
Authors: Krista M Hardy; Josephine Kwong; Kristen B Pitzul; Ashley S Vergis; Timothy D Jackson; David R Urbach; Allan Okrainec Journal: Surg Endosc Date: 2013-11-21 Impact factor: 4.584
Authors: Chee-Chee H Stucky; Barbara A Pockaj; Paul J Novotny; Jeff A Sloan; Daniel J Sargent; Michael J O'Connell; Robert W Beart; John M Skibber; Heidi Nelson; Jane C Weeks Journal: Ann Surg Oncol Date: 2011-03-31 Impact factor: 5.344
Authors: M Ditzel; T M van Ginhoven; J B C van der Wal; W Hop; P P L O Coene; J F Lange; E van der Harst Journal: J Gastrointest Surg Date: 2013-06-04 Impact factor: 3.452