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' recomendations: 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: jills@ccohta.ca
Contact Email: jills@ccohta.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.