Medical & Surgical Urology
Open Access

Elizabeth A Piontek

Publications

• Research Article
  Single-Site Laparoscopic Nephrectomy: Is It Cost-Effective?
  Author(s): Elizabeth A Piontek, Bernadette McCrory, Justin D Johnson, Jacob M Oran and Chad A LaGrange Elizabeth A Piontek, Bernadette McCrory, Justin D Johnson, Jacob M Oran and Chad A LaGrange
  
  Background: With the emergence of Laparoendoscopic Single-Site Surgery (LESS) and its potential patient benefits, a cost comparison was conducted to enable informed decision-making for the selection of minimally invasive surgical approach type for nephrectomy. Methods: A literature-based cost comparison of Hand-Assisted Laparoscopic (HAL), Conventional Laparoscopic (LAP), and LESS nephrectomies was conducted to determine whether the benefits of LESS offset the expense of this new technique and its expensive technologies. Using institutional rates the total cost of each approach was determined by summing the costs of instrumentation unique to each approach, Operative Time (OT) and patient length of stay (LOS). One-way and two-way sensitivity analyses were performed varying each of the costs to determine Cost-equivalence thresholds across the .. View More»
  DOI: 10.4172/2168-9857.1000117

  Abstract PDF

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