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—My comments concerning the hospital charges for laparoscopic cholecystectomy vs conventional open cholecystectomy were based on an analysis of the first 200 laparoscopic cholecystectomies that I performed at the Creighton University Affiliated Hospitals in Omaha, Neb. Fourteen patients were excluded from the cost analysis because they required either common bile-duct manipulation (six patients) or because they were converted to open cholecystectomy (eight patients). The average hospital charge for the remaining 186 patients was $6750. In comparison, all patients who underwent open, conventional cholecystectomies, with or without operative cholangiography, without common bile-duct exploration at Creighton University's major teaching hospital in 1988 were analyzed. The average hospital charge for an open cholecystectomy in 1988 dollars adjusted to 1989 for inflation was $7069.Dr Jordan has performed a thoughtful and careful study for which he is to be congratulated, although the group was small. As the medical director for an insurance
Fitzgibbons RJ. Hospital Charges for Laparoscopic and Open Cholecystectomy-Reply. JAMA. 1991;266(24):3425–3426. doi:10.1001/jama.1991.03470240047027
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