A cost effective analysis of a laparoscopic versus an open left lateral sectionectomy in a liver transplant unit. Issue 4 (17th November 2014)

• Record Type: Journal Article
• Authors: Bell, Richard; Pandanaboyana, Sanjay; Hanif, Faisal; Shah, Nehal; Hidalgo, Ernest; Lodge, J. Peter A.; Toogood, Giles; Prasad, K. Raj
• Is Part Of: HPB. Volume 17:Issue 4(2015:Apr.)
• Page Start: 332
• Page End: 336
• Publication Date: 2014-11-17
• Subjects: Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 616.362005
• DOI: 10.1111/hpb.12354
• Languages: English
• ISSNs: 1365-182X

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hpb12354-sec-0001" sec-type="section"> <title>Introduction</title> <p>This study aimed to assess the cost effectiveness of a laparoscopic left lateral sectionectomy (LLLS) compared with an open (OLLS) procedure and its role as a training operation as well as the learning curve associated with a laparoscopic approach.</p> </sec> <sec id="hpb12354-sec-0002" sec-type="section"> <title>Method</title> <p>Between 2004 and 2013, a prospectively maintained database was reviewed. LLLS were compared with age‐ and sex‐matched OLLS. In addition, the outcomes of LLLS with a consultant as the primary surgeon were compared with those performed by trainees.</p> </sec> <sec id="hpb12354-sec-0003" sec-type="section"> <title>Results</title> <p>Forty‐three LLLS were performed during the study period. LLLS was a significantly cheaper operation compared with OLLS (<italic>P</italic> = 0.001, £3594.14 versus £5593.41). The median hospital stay was shorter in the laparoscopic group (<italic>P</italic> = 0.002, 3 versus 7 days). No difference was found in outcomes between a LLLS performed by a trainee or consultant (operating time, morbidity or R1 resection rate). The procedure length was significantly shorter during the later half of the study period [120 versus 129 min (<italic>P</italic> = 0.045)].</p> </sec> <sec id="hpb12354-sec-0004" sec-type="section"> <title>Conclusion</title> <p>LLLS is a significantly cost effective operation compared with an open approach with a reduction in hospital stay. In addition, it is suitable to use as a training operation.</p> </sec> </abstract>