Analysis of economic impact of laparoscopic liver resection according to surgical difficulty
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and Other Interventional Techniques
REVIEW ARTICLE
Analysis of economic impact of laparoscopic liver resection according to surgical difficulty Quentin Dubray1,2 · Sophie Laroche2 · Ecoline Tribillon2 · Brice Gayet2 · Marc Beaussier3 · Alexandra Nassar2 · Isabelle Aminot4 · Sandra Camps1 · David Fuks2 Received: 23 July 2020 / Accepted: 1 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction The advantages of laparoscopic liver resection (LLR) are well known, but their financial costs are poorly evaluated. The aim of this study was to analyze the economic impact of surgical difficulty on LLR costs, and to identify clinical factors that most affect global charges. Methods All patients who underwent LLR from 2014 to 2018 in a single French center were included. The IMM classification was used to stratify surgical difficulty, from group I through group III. The costing method was done combining top-down and bottom-up approaches. A multivariate analysis was performed in order to identify clinical factors that most affect global charges. Results Two hundred seventy patients were included (Group I: n = 136 (50%), Group II: n = 60 (22%), Group III: n = 74 (28%)). Total expenses significantly increased (p
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