Analysis of the Costs of Surgery for Hirschsprung's Disease: One-Stage Laparoscopic Pull-Through Versus Two-Stage Duh.amel Procedure

Author:

Bufo Anthony J.,Chen Mike K.,Shah Rasik,Gross Eitan,Cyr Nancy1,Lobe Thom E

Affiliation:

1. Department of Surgery, University of Tennessee, Memphis, Section of Pediatric Surgery, Le Bonheur Children's Medical Center

Abstract

The purpose of this report is to evaluate the cost-effectiveness of a single-stage laparoscopic pull-through for Hirschsprung's disease compared to the traditional two-stage Duhamel procedure. In this series of 33 children, the length of hospitalization (2.5 ± 3.5 vs 10.6 ± 3.9, p<0.0 1), cost (19,088 ± 13,075 vs 34,110 ± 19,443, p<0.05), and complications were all significantly less with the laparoscopic assisted pull-through compared to the more traditional open approach.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

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