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The impact of surgeon choices on costs associated with uncomplicated minimally invasive colectomy:you are not as important as you think

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Gastroenterology Report 2018年第2期6卷 108-113,I0002页

作者： john tillou Deborah Nagle Vitaliy Poylin Thomas Cataldo Division of Colon and Rectal Surgery Department of SurgeryBeth Israel Deaconess Medical CenterBostonMAUSA

Background:There is increasing public discussion about the escalating cost of healthcare in *** are no published data regarding the contribution of individual surgeons’choices on the cost of uncomplicated minimally invasive ***:A review of a hospital cost-accounting database of the direct costs related to the index operation and postoperative care of all patients who underwent elective minimally invasive segmental colectomy over a 1-year period was ***:A total of 111 cases were enrolled in this study,18 of which were performed *** average direct cost after minimally invasive colectomy was$*** cost of robotic colectomy was 53%greater than laparoscopic($7806 vs$5096,p<0.001).There was no statistically significant difference in overall costs among laparoscopic cases performed by three surgeons($5099 vs$5108 vs$5055,p¼0.987).Average operating room supply costs among the three surgeons were$1236,$1105 and$1030,respectively(p¼0.067),with a standard deviation of$328(6.4%of overall cost).Conclusions:No significant difference in overall costs between surgeons was demonstrated despite varied training,experience levels and operative *** costs are relatively institutionally fixed and minimally influenced by variations in individual surgeon preferences.

关键词： cost minimally invasive colectomy laparoscopy individual surgeon

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