A Study of Added Costs of Laparoscopic Cholecystectomy Based on Surgery Preference Cards

Allen, Jeff W.; Polk Jr., Hiram C.
May 2002
American Surgeon;May2002, Vol. 68 Issue 5, p474
Academic Journal
Hospitals are pressured to cut expenses to generate a profit, but many current surgical procedures still fall below a "break-even" point. Laparoscopic cholecystectomy is a high-volume surgical procedure that can be profitable for hospitals if costs are reduced and complications minimized. Our limited liability corporation of independent surgical specialists examined the preference cards of ten surgeons who performed laparoscopic cholecystectomies in August 2000. We wished to determine whether these surgeons differed in their use of disposable equipment and devices for the same surgical procedure. All of the disposable equipment and devices studied were assigned a price by the hospital purchasing department that was representative of the hospital costs and not what was billed to the patient. The sum total of disposable instruments for a single operative case in which laparoscopic cholecystectomy was performed ranged from $92 to $637 (mean $333) depending on the preference of the surgeon. Our study points out the differences in expenses between surgeons. Maintaining this type of expense tracking can apply to other procedures and is a good place to start a surgeon-led and hospital-based cost-saving initiative.


Related Articles

  • Laparoscopic cholecystofistulectomy for preoperatively diagnosed cholecystoduodenal fistula. Chikamori, Fumio; Okumiya, Kazuya; Inoue, Atsushi; Kuniyoshi, Nobutoshi // Journal of Gastroenterology;2001, Vol. 36 Issue 2, p125 

    Abstract: The presence of cholecystoduodenal fistula, a rare condition, has been one of the reasons for conversion from laparoscopic cholecystectomy to open cholecystectomy. Here we report a patient with cholecystocholedocholithiasis complicated by cholecystoduodenal fistula, diagnosed...

  • Next-Day Surgical Complications After Nighttime Procedures. Lijun Hou; Xi Han; Yan Dong // JAMA: Journal of the American Medical Association;2/26/2014, Vol. 311 Issue 8, p860 

    A letter to the editor is presented in response to a study which revealed that surgeons operating the night before did not perform next-day elective laparoscopic cholecystectomies with more complications.

  • Next-Day Surgical Complications After Nighttime Procedures. Vinden, Christopher; Nash, Danielle // JAMA: Journal of the American Medical Association;2/26/2014, Vol. 311 Issue 8, p861 

    A reply by Christopher Vinden and Danielle Nash to a letter to the editor about their study which revealed that surgeons operating the night before did not perform next-day elective laparoscopic cholecystectomies with more complications is presented.

  • A complicated cholecystectomy.  // Cortlandt Forum;02/25/99, Vol. 12 Issue 2, p41 

    Presents the facts of a malpractice suit against a United States surgeon for a cholecystectomy complications. Surgeon's accidental division of the right hepatic instead of the cystic duct; Verdict in favor of the plaintiff; Legal theory; Risk management principles.

  • Robotic Assistant for Laparoscopy. Panait, Lucian; Rafiq, Azhar; Mohammed, Ahmed; Mora, Francisco; Merrell, Ronald // Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2006, Vol. 16 Issue 2, p88 

    Background: With the advent of technologies allowing for wider application of minimally invasive surgeries, the integration of telerobotics for mentoring by a surgeon at a remote site will make it possible to include a wider audience in surgical consultations and collaboration. Materials and...

  • Long-term follow-up after robotic cholecystectomy. Bodner, Johannes; Hoeller, Elisabeth; Wykypiel, Heinz; Klingler, Paul; Schmid, Thomas // American Surgeon;Apr2005, Vol. 71 Issue 4, p281 

    Most surgeons gain their first clinical experience with surgical robots when performing cholecystectomies. Although this procedure is rather easily applicable for the da Vinci surgical system, the long-term outcome after this operation has not yet been clarified. This study follows up our...

  • Surgeon perceptions of Natural Orifice Translumenal Endoscopic Surgery (NOTES). Volckmann, Eric T.; Hungness, Eric S.; Soper, Nathaniel J.; Swanstrom, Lee L. // Journal of Gastrointestinal Surgery;Aug2009, Vol. 13 Issue 8, p1401 

    Introduction: If proven feasible and safe, Natural Orifice Translumenal Endoscopic Surgery (NOTES) would still need acceptance by surgeons if it were to become a mainstream approach.Methods: Three hundred fifty-seven surgeons responded to a preliminary survey describing...

  • Laparoscopic cholecystectomy as a teaching operation: comparison of outcome between residents and attending surgeons in 1,747 patients. Fahrner, Ren�; Turina, Matthias; Neuhaus, Valentin; Sch�b, Othmar // Langenbeck's Archives of Surgery;Jan2012, Vol. 397 Issue 1, p103 

    Purpose: Standardized surgical training is increasingly confronted with the public demand for high quality of surgical care in modern teaching hospitals. The aim of this study was to compare the results of laparoscopic cholecystectomy (LC) performed by resident surgeons (RS) and attending...

  • News and notices.  // Surgical Endoscopy;Feb2003, Vol. 17 Issue 2, p358 

    Presents information related to the field of endoscopy in Great Britain. Association of Endoscopic Surgeons of Great Britain and Ireland's relocation of its office in London, England; Advanced laparoscopic courses at Colchester General Hospital; Practical course designed for surgeons who wish to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics