Safety and Cost Considerations during the Introduction Period of Laparoscopic Radical Hysterectomy
المؤلفون المشاركون
Mitra, Suparna
Anagnostopoulos, A.
Decruze, B.
Macdonald, R.
Kirwan, J.
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
To compare the safety, efficacy, and direct cost during the introduction of laparoscopic radical hysterectomy within an enhanced recovery pathway.
Methods.
A 1 : 1 single centre retrospective case control study of 36 propensity matched pairs of patients receiving open or laparoscopic surgery for early cervical cancer.
Results.
There were no significant differences in the baseline characteristics of the two cohorts.
Open surgery cohort had significantly higher intraoperative blood loss (189 versus 934 mL) and longer postoperative hospital stay (2.3 versus 4.1 days).
Although no significant difference in the intraoperative or postoperative complications was found more urinary tract injuries were recorded in the laparoscopic cohort.
Laparoscopic surgery had significantly longer duration (206 versus 159 minutes), lower lymph node harvest (12.6 versus 16.9), and slower bladder function recovery.
The median direct hospital cost was £4850 for laparoscopic radical hysterectomy and £4400 for open surgery.
Conclusions.
Laparoscopic radical hysterectomy can be safely introduced in an enhanced recovery environment without significant increase in perioperative morbidity.
The 10% higher direct hospital cost is not statistically significant and is expected to even out when indirect costs are included.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Anagnostopoulos, A.& Mitra, Suparna& Decruze, B.& Macdonald, R.& Kirwan, J.. 2017. Safety and Cost Considerations during the Introduction Period of Laparoscopic Radical Hysterectomy. Obstetrics and Gynecology International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1193482
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Anagnostopoulos, A.…[et al.]. Safety and Cost Considerations during the Introduction Period of Laparoscopic Radical Hysterectomy. Obstetrics and Gynecology International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1193482
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Anagnostopoulos, A.& Mitra, Suparna& Decruze, B.& Macdonald, R.& Kirwan, J.. Safety and Cost Considerations during the Introduction Period of Laparoscopic Radical Hysterectomy. Obstetrics and Gynecology International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1193482
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1193482
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر