Safety and Cost-Effectiveness Analysis of Laparoscopic Splenectomy by Secondary Pedicle Division Using Monopolar Electrocautery

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	Safety and Cost-Effectiveness Analysis of Laparoscopic Splenectomy by Secondary Pedicle Division Using Monopolar Electrocautery
	Zhou, Jianyin ; Liu, Pingguo ; Yin, Zhenyu ; Zhao, Yilin ; Wang, Xiaomin ; Zhou JY(周剑寅) ; Liu PG(刘平果) ; Yin ZY(尹震宇) ; Zhao YL(赵一麟) ; Wang XM(王效民)
刊名	http://dx.doi.org/10.5754/hge121288
	2013
关键词	IMMUNE THROMBOCYTOPENIC PURPURA EFFICACY
英文摘要	Background/Aims: The expense of laparoscopic splenectomy (LS) has limited its use in developing countries, while medical costs are increasing worldwide. In this study, we performed LS by secondary pedicle division using monopolar electrocautery to achieve cost savings. Methodology: Over seven years, we performed 45 consecutive LSs by secondary pedicle division using monopolar electrocautery (n=17) or ultrasonic shears (n=28) at a single center. These were reviewed to assess outcome and cost. Results: Mean operating time was 179.7min, 7 Conversions to open operation (15.6%) were necessary. There were four postoperative complications (8.9%) and no deaths. Twenty-three of 28 (82.1%) patients with idiopathic thrombocytopenic purpura developed a long-term positive response; and mean operative cost was RMB6,577 (US$1,034), which was much lower than that of Endo-GIA (TM) in published reports. Between the monopolar electrocautery and ultrasonic shears groups, there were no significant differences in demographic characteristics or intraoperative and postoperative details, but operative cost was significantly lower in the former (RMB4,416, US$696 vs. RMB7,889, US$1,243; p<0.01). Conclusions: LS by secondary pedicle division using monopolar electrocautery is safe, efficacious and economical.
语种	英语
出版者	H G E UPDATE MEDICAL PUBLISHING S A
内容类型	期刊论文
源URL	[http://dspace.xmu.edu.cn/handle/2288/93493]
专题	医学院－已发表论文
推荐引用方式 GB/T 7714	Zhou, Jianyin,Liu, Pingguo,Yin, Zhenyu,et al. Safety and Cost-Effectiveness Analysis of Laparoscopic Splenectomy by Secondary Pedicle Division Using Monopolar Electrocautery[J]. http://dx.doi.org/10.5754/hge121288,2013.
APA	Zhou, Jianyin.,Liu, Pingguo.,Yin, Zhenyu.,Zhao, Yilin.,Wang, Xiaomin.,...&王效民.(2013).Safety and Cost-Effectiveness Analysis of Laparoscopic Splenectomy by Secondary Pedicle Division Using Monopolar Electrocautery.http://dx.doi.org/10.5754/hge121288.
MLA	Zhou, Jianyin,et al."Safety and Cost-Effectiveness Analysis of Laparoscopic Splenectomy by Secondary Pedicle Division Using Monopolar Electrocautery".http://dx.doi.org/10.5754/hge121288 (2013).