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

1999; SAGE Publishing; Volume: 38; Issue: 10 Linguagem: Inglês

10.1177/000992289903801004

1938-2707

Anthony J. Bufo, Mike K. Chen, Rasik Shah, Eitan Gross, NANCY A. CYR, Thom E. Lobe,

Gastrointestinal disorders and treatments

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.