Our Summary

This research paper focuses on the cost of laparoscopic appendectomy, a common surgical procedure, and how it can be reduced without compromising the quality of care. The study reviewed nearly 5000 of these surgeries at 20 different hospitals done by 233 surgeons. They found that costs varied greatly, with the average cost per case ranging from $650 to $1067. They also found that the most expensive items were single-use energy devices and endoscopic staplers. The study estimated that by avoiding the use of these devices and opting for reusable instruments and other alternatives, each procedure could be cheaper by over $417, and even up to $984 in some cases. This would result in significant savings for the healthcare system, potentially over $1 million each year for their own system, and over $125 million across the country. Importantly, they found that these cost reductions would not increase the time of surgery or the risk of complications after surgery.

FAQs

  1. What are the most expensive items used in a laparoscopic appendectomy?
  2. How much could be saved annually if reusable instruments were used in place of single-use energy devices and endoscopic staplers?
  3. Would the use of reusable instruments and other cost-saving alternatives increase the time of surgery or the risk of complications?

Doctor’s Tip

A helpful tip a doctor might give a patient about laparoscopic appendectomy is to follow post-operative care instructions closely, including taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities until cleared by the surgeon. Additionally, maintaining a healthy diet and staying hydrated can aid in the recovery process. It is also important to report any unusual symptoms or signs of infection to the doctor promptly.

Suitable For

Patients who are typically recommended for laparoscopic appendectomy are those who have been diagnosed with appendicitis. This includes individuals who are experiencing symptoms such as abdominal pain, nausea, vomiting, and fever. Laparoscopic appendectomy is often recommended for patients who are otherwise healthy and have a low risk of complications from surgery. This minimally invasive procedure is preferred over open appendectomy for most patients, as it typically results in less post-operative pain, quicker recovery time, and shorter hospital stays.

Timeline

Before laparoscopic appendectomy:

  1. Patient experiences symptoms of appendicitis, such as abdominal pain, nausea, vomiting, and fever.
  2. Patient visits a healthcare provider who conducts a physical exam and may order imaging tests, such as an ultrasound or CT scan, to confirm the diagnosis.
  3. Once appendicitis is confirmed, the patient is scheduled for a laparoscopic appendectomy procedure.

After laparoscopic appendectomy:

  1. Patient undergoes laparoscopic appendectomy, a minimally invasive surgical procedure where the appendix is removed through small incisions in the abdomen.
  2. Patient is monitored in the recovery room and then transferred to a hospital room for further observation.
  3. Patient is given pain medication and instructions on post-operative care, such as wound care, diet restrictions, and activity limitations.
  4. Patient may experience some discomfort and soreness in the abdomen for a few days after surgery.
  5. Patient is discharged from the hospital once they are able to tolerate oral intake, walk, and have their pain under control.
  6. Patient follows up with their healthcare provider for a post-operative check-up to ensure proper healing and recovery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic appendectomy?
  2. How experienced are you in performing laparoscopic appendectomies?
  3. Will I need to stay in the hospital after the surgery, and if so, for how long?
  4. How much pain can I expect after the procedure, and what pain management options will be available to me?
  5. What is the expected recovery time for a laparoscopic appendectomy?
  6. Are there any alternative treatment options to consider before deciding on surgery?
  7. Will I have any dietary restrictions or special instructions to follow before or after the surgery?
  8. How soon can I return to normal activities, such as work or exercise, after the surgery?
  9. Will I have any visible scarring after the procedure, and if so, how can I minimize it?
  10. What is the cost of the laparoscopic appendectomy, and are there any ways to reduce the cost without compromising the quality of care?

Reference

Authors: Malhotra L, Pontarelli EM, Grinberg GG, Isaacs RS, Morris JP, Yenumula PR. Journal: Surg Endosc. 2022 Jan;36(1):800-807. doi: 10.1007/s00464-020-08266-0. Epub 2021 Jan 27. PMID: 33502616