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Economics of Laparoscopic Colectomy

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Minimally Invasive Approaches to Colon and Rectal Disease

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Abstract

Laparoscopic colectomy has steadily become a standardized, easily taught operation and ultimately enjoys a near 50 % adoption rate in the United States. Offshoots of single incision, NOTES, and robotics have necessitated additional instrumentation beyond what is typically consumed, both at a cost to the system and their associated learning curve. The question remains whether these approaches offer compelling clinical advantages in an increasingly cost-constrained system, which must deliver high-quality results at lower cost. For example, the often significantly higher cost of device acquisition and devices associated with the robotic-assisted colon resection appear to offer the same outcomes as can be achieved in most cases by a trained laparoscopic surgeon. In this chapter, I will explore the various issues that have impacted cost-efficiency of minimally invasive approaches to colectomy, as well as those issues that still require attention to realize the full benefits of this surgical approach.

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Author information

Authors and Affiliations

  1. Department of Surgery, Central Michigan University, School of Medicine, Saginaw, MI, USA

    Anthony J. Senagore M.D., M.S., M.B.A.

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  1. Anthony J. Senagore M.D., M.S., M.B.A.
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Correspondence to Anthony J. Senagore M.D., M.S., M.B.A. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

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Senagore, A.J. (2015). Economics of Laparoscopic Colectomy. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_34

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_34

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