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Cost Comparison between Laparoscopic and Open Appendectomies in Children

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Author(s): Shahzad Y. Khan | Zainab N. Al-Balushi | Khalid M. Bhatti | Toufique Ehsan | Prakash Mandhan

Journal: Sultan Qaboos University Medical Journal : SQUMJ
ISSN 2075-051X

Volume: 13;
Issue: 2;
Start page: 275;
Date: 2013;
Original page

Keywords: Appendicitis | Appendectomy | Costs and Cost Analysis | Oman

ABSTRACT
Objectives: Laparoscopic appendectomy (LA) for children has become very popular and is routinely performed in most health care centres around the world. The cost of surgical procedures is always a concern for patients and health care providers. This study compares, the total cost of open appendectomy (OA) with LA in children who required an appendectomy for acute appendicitis. Suitable and safe cost-effective techniques were also explored to reduce the cost of these procedures. Methods: The medical records of all the children (ranging between 0 and 12 years) at Sultan Qaboos University Hospital in Oman, who required OA or LA from June 2009 to July 2011, were reviewed. Results: LA were performed in 75 patients while OA were done in 34. Patients from the OA and LA groups were age- and gender-matched. The average operative time was 76 minutes for LA and 49 minutes for OA (P

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