Economic Implications of Providing Emergency Cholecystectomy for All XXXX With Biliary Pathology: A Retrospective Analysis.

@entity1 @entity3883 @entity788 @entity697 @entity260 @entity14784 @entity253
INTRODUCTION: This study assessed the safety and efficacy of @entity697 ( @entity697 ) in @entity1 presenting with biliary pathology. The potential savings plus income generation for the hospital were calculated. METHODS: All @entity1 undergoing emergency cholecystectomy were identified from computerized and hand-written theater records to ensure complete capture. Length of stay, procedure time, @entity1 demographics, and @entity260 were recorded. Tariffs for conservative versus acute management were calculated. Total admissions and readmissions with biliary pathology ( @entity14784 , @entity253 , @entity788 , @entity3883 ) over a 12-month period were recorded. RESULTS: Eighty-four @entity1 undergoing @entity697 were identified. There was only 1 major complication (1 postoperative bleed managed laparoscopically). @entity697 for all admissions would result in savings of   695,918 over 12 months. The implementation of @entity697 for all @entity1 would result in a small loss in revenue when compared with elective laparoscopic cholecystectomy (  15,495) provided that all operations could be accommodated on established operating lists. Implementing @entity697 on all appropriate biliary admissions could generate up to 3 cholecystectomies daily for a population base of 1 million. CONCLUSIONS: @entity697 is cost-effective and safe. It can be offered to all @entity1 with biliary pathology provided they are fit enough for surgery.
