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- W2894579675 abstract "Introduction: Laparoscopic cholecystectomy (LC) is the gold standard in the treatment of acute cholecystitis. Early LC has become more common and have proven similar safety profile compared to the elective LC. This study was to compare the length of stay and cost analysis of early LC versus elective LC in patients with acute cholecystitis. Methodology: There were a total of 48 patients, with 26 patients in early LC group and 22 patients in elective LC group. This was a cross-sectional study from January 2015 until March 2017 in the Department of Surgery, Universiti Kebangsaan Malaysia Medical centre, Malaysia. Results: Shorter length of stay was observed in the early LC group (4.0 days versus 4.5 days. The mean total provider cost for early LC was RM 2532, and RM 2751 for elective LC. This difference was mostly seen in the consumable cost (i.e investigations and operating equipment) with p < 0.05. Operative outcome was statistically similar in each group in terms of conversion rate (23.1% vs. 18%), post-operative complications (11.5% vs 4.5%) and readmission rate ( 7.7% vs. 4.5%) with p > 0.05. However the operative time was statistically longer in the early LC group (134.2 + 48.5 minutes) versus elective group (105.9 + 40.1 minutes)(p = 0.032). Conclusion: The average provider's cost for early LC was statistically similar when compared to elective LC with comparable safety profile. Early LC should still be the preferred treatment option for patients with acute cholecystitis if adequate facilities and expertise is available." @default.
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- W2894579675 date "2018-09-01" @default.
- W2894579675 modified "2023-10-14" @default.
- W2894579675 title "A cost analysis study on early versus elective laparoscopic cholecystectomy for acute cholecystitis" @default.
- W2894579675 doi "https://doi.org/10.1016/j.hpb.2018.06.1529" @default.
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