ArticleSurgical endoscopy2019
Regional cost analysis for laparoscopic cholecystectomy.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Minimally invasive repair of iatrogenic bile duct injuries: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Intraoperative imaging of the common bile duct: a systematic review.Surgical endoscopy · 2025Pooled it
- Multicenter external validation of a nomogram predicting conversion to open cholecystectomy during laparoscopic surgery for acute calculous cholecystitis: a cross-sectional study.Scientific reports · 2025Article
- Article
- Medical Therapies to Conquer Surgical Diseases: Gallstone Disease May Be the Next Frontier.International journal of general medicine · 2024Article
- Article
- Development of a prospective biliary dashboard to compare performance and surgical cost.Surgical endoscopy · 2023Article
- Cost Comparison: Evaluating Transfemoral and Transradial Access for Diagnostic Cerebral Angiography.Stroke (Hoboken, N.J.) · 2023Article
- Variability in hospital costs for short stay emergent laparoscopic appendectomy.Surgery open science · 2022Article
- Cost analysis of laparoscopic appendectomy in a large integrated healthcare system.Surgical endoscopy · 2022Article
- The effect of shortening the preoperative fasting period on patient comfort and gastrointestinal function after elective laparoscopic surgery.American journal of translational research · 2021Article
- Effect of dexmedetomidine combined with propofol on stress response, hemodynamics, and postoperative complications in patients undergoing laparoscopic cholecystectomy.American journal of translational research · 2021Article
- Ultrasonic scalpel combined with internal oxygen assisted sodium nitroprusside in laparoscopic cholecystectomy for elderly patients with acute cholecystitis.American journal of translational research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy is the most common procedure performed by general surgeons in the United States, with approximately 600,000 procedures performed annually. As the cost of care rises, there is increasing emphasis on utilization and quality. Our objective was to evaluate the cost of laparoscopic cholecystectomy in our health system and to compare the operative times and outcomes at high- and low-cost centers.
methodsWe evaluated all laparoscopic cholecystectomies performed in our system over a 1-year period. The operating room supply costs and procedure durations were obtained for each of the hospitals. The American College of Surgeons National Surgical Quality Improvement Program outcomes and demographics were compared to the costs for each hospital.
resultsDuring the study period, 7601 laparoscopic cholecystectomies were performed at 20 hospitals (170-759/hospital) by 227 surgeons. The average cost per case ranged from $296 at the lowest cost center to $658 at the highest cost center. The average operative time varied between sites from 46 to 95 min. There was no association between cost and operative time or case volume. There was a slight trend toward increased cost with higher number of emergency procedures, but this was not well correlated (R
conclusionPerforming laparoscopic cholecystectomy with reusable instruments can significantly decrease costs and does not increase operative time or postoperative complications.
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Registered trials
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