Gallstone therapies
Marshall D
Record ID 31995000000
English, French
Authors' objectives:
testtest
Authors' results and conclusions:
a) No controlled trials of laparoscopic cholecystectomy comparing it with surgical cholecystectomy have been completed. However, it is being adopted at a rapid rate in Canadian hospitals; b) Total treatment costs for the three therapies per case are $3437 (open), $2605 (lap.) and $1631 (lithotripsy). This does not include costs associated with loss of work, and costs due to complications; c) When variables e.g. length of stay, hospital room rates, patient throughput, length of adjunct drug therapy, number of lithotripsy sessions, etc. are changed, the three per-case costs range from $2661 to $5825 (open), $2497 to $3236 (lap.) and $1553 to $7475 (lithotripsy); d) There is no evidence that use of a laser improves outcomes for laparoscopic cholecystectomy; e) Training of surgeons in the laparoscopic procedure may not be adequate.
Authors' recommendations:
a) No controlled trials of laparoscopic cholecystectomy comparing it with surgical cholecystectomy have been completed. However, it is being adopted at a rapid rate in Canadian hospitals;b) Total treatment costs for the three therapies per case are $3437 (open), $2605 (lap.) and $1631 (lithotripsy). This does not include costs associated with loss of work, and costs due to complications;c) When variables e.g. length of stay, hospital room rates, patient throughput, length of adjunct drug therapy, number of lithotripsy sessions, etc. are changed, the three per-case costs range from $2661 to $5825 (open), $2497 to $3236 (lap.) and $1553 to $7475 (lithotripsy); d) There is no evidence that use of a laser improves outcomes for laparoscopic cholecystectomy; e) Training of surgeons in the laparoscopic procedure may not be adequate.
Details
Project Status:
Completed
URL for project:
https://www.ccohta.ca/
Year Published:
1991
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Cholecystectomy
- Cholecystectomy, Laparoscopic
- Cholelithiasis
- Laparoscopy
- Lithotripsy
Contact
Organisation Name:
Canadian Coordinating Office for Health Technology Assessment
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Coordinating Office for Health Technology Assessment(CCOHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.