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Begum Akay, M.D.
Article
Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time.
The American surgeon
  • Alexander M DeMare, Beaumont Health
  • Natalie C Luehmann, Beaumont Health
  • Samer Kawak, Beaumont Health
  • Emily E Abbott, Beaumont Health
  • Jordan Long, Beaumont Health
  • Begum Akay, Beaumont Health
  • Pavan Brahmamdam, Beaumont Health
  • Anthony A Iacco, Beaumont Health
  • Nathan M Novotny, Beaumont Health
Link
Document Type
Article
Publication Date
6-1-2020
Abstract

BACKGROUND: Surgeons can help reduce health care spending by selecting affordable and efficient instruments. The laparoscopic appendectomy (LA) is commonly performed and can serve as a model for improving health care cost.

METHODS: We retrospectively reviewed all adult patients who underwent LA for non-perforated appendicitis from March 2015 to November 2017. Our objective was to determine which combination of disposable instruments afforded the lowest total operative cost without compromising postoperative outcomes.

RESULTS: In total, 1857 consecutive patients were reviewed from 2 hospitals. After determining the 8 most commonly utilized combinations of disposable instruments, 846 patients were ultimately analyzed. The combination of a LigaSure, Endoloop, and an EndoBag (LEB) had the shortest median operative time (25 minutes,

CONCLUSIONS: The LEB instrument combination rendered the shortest operative time, lowest total operative cost, and can be used to maximize surgical value during LA.

DOI
10.1177/0003134820923337
PubMed ID
32683956
Citation Information
DeMare AM, Luehmann NC, Kawak S, Abbott EE, Long J, Akay B, Brahmamdam P, Iacco AA, Novotny NM. Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time. Am Surg. 2020 Jun;86(6):715-720. doi: 10.1177/0003134820923337. PMID: 32683956.