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• W1993012014 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Oct 1999FINANCIAL ANALYSIS OF NEEDLESCOPIC VERSUS OPEN ADRENALECTOMY MICHAEL G. HOBART, INDERBIR S. GILL, DANA SCHWEIZER, and EMANNUEL L. BRAVO MICHAEL G. HOBARTMICHAEL G. HOBART More articles by this author , INDERBIR S. GILLINDERBIR S. GILL More articles by this author , DANA SCHWEIZERDANA SCHWEIZER More articles by this author , and EMANNUEL L. BRAVOEMANNUEL L. BRAVO More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68261-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Needlescopic adrenalectomy, partially incorporating 2 mm. instrumentation, is currently our preferred technique for transperitoneal endoscopic adrenalectomy. Although this minimally invasive technique results in decreased morbidity and shorter hospital stay, to our knowledge financial implications vis-à-vis open adrenalectomy have not been elucidated. We retrospectively compared the costs of needlescopic adrenalectomy to traditional open adrenalectomy. Materials and Methods: From September 1997 through March 1998, 15 patients underwent needlescopic adrenalectomy. Financial records of these patients were compared to those of 15 contemporary patients undergoing open adrenalectomy between January 1995 and May 1997. Adrenal pathology and tumor size were comparable between the 2 groups. Yearly costs were adjusted for inflation to 1998 dollars using a 4% annual rate. Needlescopic financial data are expressed as a ratio of open adrenalectomy costs, which are expressed as a unit of 1. Results: Overall, needlescopic adrenalectomy resulted in a 17.9% decrease in total hospital costs compared to open adrenalectomy. While the needlescopic approach was associated with an 18.1% increase in intraoperative costs, postoperative costs were 63.4% lower. Conclusions: These data demonstrate that in addition to providing a shorter hospital stay, decreased morbidity and quicker recovery, needlescopic adrenalectomy also is 17.9% less expensive than open adrenalectomy. References 1 : Technique of laparoscopic adrenalectomy. Urol. Clin. N. Amer.1997; 24: 459. Google Scholar 2 : A comparison of open vs laparoscopic adrenalectomy. Surg. Endoscop.1996; 10: 987. Google Scholar 3 : Laparoscopic versus open posterior adrenalectomy: a case control study of 100 patients. Surgery1997; 122: 1132. Google Scholar 4 : Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J. Urol.1995; 153: 1597. Link, Google Scholar 5 : Needlescopic adrenalectomy-the initial series: comparison with conventional adrenalectomy. Urology1998; 52: 180. Google Scholar 6 : The cost and effects of open versus laparoscopic cholecystectomies. Health Econ.1993; 2: 303. Google Scholar 7 : Laparoscopic splenectomy for ITP: the gold standard. Surg. Endoscop.1996; 10: 991. Google Scholar 8 : Laparoscopic splenectomy: the emerging standard. Surg. Endoscop.1997; 11: 108. Google Scholar 9 : Comparative financial analysis of laparoscopic versus open pelvic lymph node dissection for men with cancer of the prostate. J. Urol.1994; 151: 675. Link, Google Scholar 10 : Laparoscopic nephrectomy: initial experience and cost implications. Brit. J. Urol.1995; 75: 276. Google Scholar 11 : Comparison of laparoscopic and open adrenalectomy. Amer. Surg.1997; 63: 908. Google Scholar 12 : Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms. J. Amer. Coll. Surg.1996; 183: 1. Google Scholar 13 : Needlescopic urolgy: incorporating 2-mm instruments in laparoscopic surgery. Urology1998; 52: 187. Google Scholar 14 Gill I.S. Hobart M.G. Schweizer D. Bravo E.L. Outpatient adrenalectomy. J. Urol., submitted for publication. Google Scholar From the Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology and Department of Nephrology/Hypertension, The Cleveland Clinic Foundation, Cleveland, Ohio© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byPAREKATTIL S, GILL I, CASTLE E, BURGESS S, WALLS M, THOMAS R, KUMAR U, PURIFOY J, NG C, KANG Y, FUCHS G, WEISE E, WINFIELD H, LALLAS C and ANDREWS P (2018) MULTI-INSTITUTIONAL VALIDATION STUDY OF NEURAL NETWORKS TO PREDICT DURATION OF STAY AFTER LAPAROSCOPIC RADICAL/SIMPLE OR PARTIAL NEPHRECTOMYJournal of Urology, VOL. 174, NO. 4 Part 1, (1380-1384), Online publication date: 1-Oct-2005.Meraney A and Gill I (2018) Financial Analysis Of Open Versus Laparoscopic Radical Nephrectomy And NephroureterectomyJournal of Urology, VOL. 167, NO. 4, (1757-1762), Online publication date: 1-Apr-2002.GILL I (2018) THE CASE FOR LAPAROSCOPIC ADRENALECTOMYJournal of Urology, VOL. 166, NO. 2, (429-436), Online publication date: 1-Aug-2001.JANETSCHEK G, HOBISCH A, PESCHEL R, HITTMAIR A and BARTSCH G (2018) LAPAROSCOPIC RETROPERITONEAL LYMPH NODE DISSECTION FOR CLINICAL STAGE I NONSEMINOMATOUS TESTICULAR CARCINOMA: LONG-TERM OUTCOMEJournal of Urology, VOL. 163, NO. 6, (1793-1796), Online publication date: 1-Jun-2000. Volume 162Issue 4October 1999Page: 1264-1267 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.Keywordscost and cost analysissurgical procedures, opensurgical procedures, endoscopicadrenalectomyMetricsAuthor Information MICHAEL G. HOBART More articles by this author INDERBIR S. GILL More articles by this author DANA SCHWEIZER More articles by this author EMANNUEL L. BRAVO More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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