Laparoscopic splenectomy by secondary pedicle division strategy: a highly cost-effective method.
- Author:
Xiu-jun CAI
1
;
Bo SHEN
;
Hong YU
;
Xiao LIANG
;
Lin-hua ZHU
;
Yi-fan WANG
;
Yi DAI
;
Jin YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Cost-Benefit Analysis; Female; Humans; Laparoscopy; methods; Male; Middle Aged; Retrospective Studies; Splenectomy; methods
- From: Chinese Medical Journal 2008;121(2):105-107
- CountryChina
- Language:English
-
Abstract:
BACKGROUNDLaparoscopic splenectomy (LS) shows many advantages compared with open surgery except for the high cost. This study was aimed to recommend secondary pedicle division strategy as a method with high cost-effectiveness.
METHODSFrom January 2003 to June 2005, 14 consecutive patients underwent laparoscopic splenectomy. The splenic pedicle was controlled by secondary pedicle division strategy in 8 cases and by Endo-GIA in the other 6 cases. A retrospective study was carried out to evaluate the operative time, blood loss, time to diet, operative morbidity, postoperative stay, and operative cost.
RESULTSLS was performed successfully in a total of 14 cases. There was no significant difference between the two strategies in operative time, blood loss, time to diet, operative morbidity and postoperative stay. The operative cost of secondary pedicle division strategy group (RMB 8354.38 +/- 752.10) was significantly lower than that of Endo-GIA group (RMB 11053.33 +/- 602.27) (P < 0.01).
CONCLUSIONSLaparoscopic splenectomy by secondary pedicle division strategy is a safe, effective and economical procedure with the value of popularization in developing countries.
