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• W2009681578 abstract "Minimally invasive oesophagectomy offers a number of advantages over open approaches, including reduced discomfort, shorter length of stay, and a faster recovery to baseline status. Alternatively, minimally invasive procedures are typically longer and consume greater disposable instrumentation, potentially resulting in a higher overall cost. The objective of this study was to compare costs associated with oesophagectomy approaches for oesophageal cancer. An institutional Resource Information Management System was queried for hospital cost data of patients undergoing oesophagectomy for oesophageal cancer between 2003 and 2012 via minimally invasive, open transthoracic, or transhiatal approaches. Patients that were converted from minimally invasive to open, or involved hybrid procedures were excluded. A total of 158 oesophagectomies were identified, including 60 minimally invasive (MIO), 34 open transthoracic (TT), and 64 transhiatal (TH).The median costs on the day of surgery were higher in the MIE group ($12 187) than the open groups TT ($7689) or TH ($5118). The median costs of the entire hospitalization also appeared to be higher in the MIO group ($25 879) compared to TT ($23 622) and TH ($15 248). The median length of stay was lowest in the MIO group (8.0 days) compared to TT (11.5 days) and TH (9.0 days). The operating room costs associated with minimally invasive oesophagectomy are significantly higher than open transthoracic or transhiatal approaches. Unfortunately, a shorter hospital stay after MIO does not consistently offset higher surgical expenses, as the total hospital costs trend is higher in the MIO patients. In a strained health care economy, efforts to reduce costs associated with the minimally invasive approach should address the postoperative period as well as operating room expenses. All authors have declared no conflicts of interest." @default.
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• W2009681578 date "2013-07-01" @default.
• W2009681578 modified "2023-09-27" @default.
• W2009681578 title "F-089MINIMALLY INVASIVE OESOPHAGECTOMY MORE EXPENSIVE THAN OPEN AT NORTH AMERICAN HOSPITAL DESPITE SHORTER LENGTH OF STAY" @default.
• W2009681578 doi "https://doi.org/10.1093/icvts/ivt288.89" @default.
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