Abstract
Cost-containment policies have required a fundamental reexamination of surgical practice. Increasingly government, third-party payers, and the public have expected that surgical treatment will be delivered on an ambulatory or short-term basis. This environment, coupled with the success of laparoscopic interventions in reducing postoperative trauma and shortening the length of stay (LOS) without increased morbidity or mortality, has recently extended to affect the practice of cardiac surgery.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Lawrence K. Minimal access surgery: harnessing the revolution. Lancet 1994; 343: 308–309.
Takaro T, Hultgren HN, Lipton MJ, Detre KM. The VA cooperative randomized study of surgery for coronary arterial occlusive disease II. Subgroup with significant left main lesions. Circulation 1976;54(6 Suppl):I1I107–III117.
European Coronary Surgery Study Group (ECSS). Coronary artery bypass surgery in stable angina pectoris: survival at two years. Lancet 1979; 1 (8122): 889–893.
Coronary Artery Surgery Study (CASS): a randomized trial of coronary artery bypass surgery: Survival data. Circulation 1983;68(5):939–950.
Subcommittee on Coronary Artery Bypass Graft Surgery. Guidelines and indications for coronary artery bypass graft surgery. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures. J Am Coll Cardiol 1991; l7 (3): 543–589.
el-Fiky MM, Taggart DP, Carter R, Stockwell MC, Maule BH, Wheatley DJ. Respiratory dysfunction following cardiopulmonary bypass: verification of a non-invasive technique to measure shunt fraction. Respir Med 1993; 87 (3): 193–198.
Louagie Y, Gonzalez E, Jamart J, Bulliard G, Schoevaerdts JC. Post-cardiopulmonary bypass lung edema. A preventable complication? Chest 1993; 103 (1): 86–95.
Mills SA. Cerebral injury and cardiac operations. Ann Thorac Surg 1993; 56 (Suppl 5): S86–S91.
Kuroda Y, Uchimoto R, Kaieda R, et al. Central nervous system complications after cardiac surgery: a comparison between coronary artery bypass grafting and valve surgery. Anesth Analg 1993; 76 (2): 222–227.
Rankin JM, Silbert PL, Yadava OP, Hankey GJ, Stewart-Wynne EG. Mechanism of stroke complicating cardiopulmonary bypass surgery. Aust N Z J Med 1994; 24 (2): 154–160.
Royster RL. Myocardial dysfunction following cardiopulmonary bypass: recovery patterns, predictors of inotropic need, theoretical concepts of inotropic administration. J Cardiothorac Vasc Anesth 1993; 7 (4 Suppl 2): 19–25.
Pfister AJ, Zaki MS, Garcia JM, et al. Coronary artery bypass without cardiopulmonary bypass. Ann Thorac Surg 1992; 54 (6): 1085–1091.
King SB, Lembo NJ, Weintraub WS, Kosinski AS, Barnhart HX, Kutner MH, EAST Investigators. Emory Angioplasty Versus Surgery Trial (EAST): design, recruitment, and baseline description of patients. Am J Cardiol 1995; 75: 42–59C.
Fonger JD, Nicholson CF, Sussman MS, Salomon NW. Cost analysis of current therapies for limited coronary artery revascularization. Circulation 1996: 94; 51 (abstract).
King RC, Reece TB, Hurst JL, et al. Minimally invasive coronary artery bypass grafting decreases hospital stay and cost. Ann Surg 1997; 225 (6): 805–811.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer Science+Business Media New York
About this chapter
Cite this chapter
Lemole, G.M., Choudhri, A.F., Oz, M.C., Goldstein, D.J., Gianguzzi, R., Nguyen, H.C. (1999). Economic Impact of Less Invasive Cardiac Operations. In: Oz, M.C., Goldstein, D.J. (eds) Minimally Invasive Cardiac Surgery. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4757-3036-4_14
Download citation
DOI: https://doi.org/10.1007/978-1-4757-3036-4_14
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-61737-108-0
Online ISBN: 978-1-4757-3036-4
eBook Packages: Springer Book Archive