Laparoscopic Nissen fundoplication is more cost-effective than open Nissen fundoplication in children
Topic overview
This retrospective study of 32 pediatric patients demonstrates that laparoscopic Nissen fundoplication offers significant advantages over open surgery, including 39% lower costs, reduced hospital stays, and decreased postoperative pain medication requirements, with comparable complication rates and outcomes.
Key takeaways
- Laparoscopic Nissen fundoplication reduces operating time by 51 minutes compared to open approach in pediatric patients (165 vs 217 min).
- Laparoscopic approach cuts postoperative hospital stay by more than half (3.8 vs 8.1 days) with reduced morphine requirements.
- Total cost per case is 39% lower with laparoscopic technique (261 vs 427 kSEK) without increased complication rates.
- Laparoscopic Nissen fundoplication is the preferred cost-effective approach for pediatric GERD surgery with superior recovery metrics.
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How to cite: GlobalCastMD. Laparoscopic Nissen fundoplication is more cost-effective than open Nissen fundoplication in children. GlobalCastMD Medical Library. 2025-01-16. https://dev.library.globalcastmd.com/article/9648?via_space=staycurrentmd
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