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World J Gastroenterol. Dec 14, 2014; 20(46): 17595-17602
Published online Dec 14, 2014. doi: 10.3748/wjg.v20.i46.17595
Published online Dec 14, 2014. doi: 10.3748/wjg.v20.i46.17595
Costs of laparoscopic and open liver and pancreatic resection: A systematic review
Paolo Limongelli, Chiara Vitiello, Salvatore Tolone, Gianmattia del Genio, Luigi Brusciano, Giovanni Docimo, Ludovico Docimo, XI Division of General and Obesity Surgery, Second University of Naples, 80131 Naples, Italy
Andrea Belli, Division of Surgical Oncology D, National Cancer Institute of Naples, Fondazione G. Pascale, 80131 Naples, Italy
Madhava Pai, Nagy Habib, Long Richard Jiao, Department of Surgery and Cancer, HPB Surgical Unit, Imperial College, Hammersmith Hospital Campus, London W12 0HS, United Kingdom
Giulio Belli, Department of General and Hepato-Pancreato-Biliary Surgery, S.M. Loreto Nuovo Hospital, 80142 Naples, Italy
Author contributions: Limongelli P and Vitiello C contributed to conception, design and drafting of the article; Belli A, Pai M, Tolone S, del Genio G, Brusciano and Docimo G contributed to acquisition and interpretation of data; Habib N, Belli G, Jiao LR and Docimo L revised it critically and gave final approval of the version to be published.
Correspondence to: Paolo Limongelli, MD, PhD, XI Division of General and Obesity Surgery, Second University of Naples, Via Pansini 5, 80131 Naples, Italy. paolo.limongelli@unina2.it
Telephone: +39-81-5666237 Fax: +39-81-5666669
Received: March 5, 2014
Revised: April 20, 2014
Accepted: May 26, 2014
Published online: December 14, 2014
Revised: April 20, 2014
Accepted: May 26, 2014
Published online: December 14, 2014
Core Tip
Core tip: Laparoscopic hepatobiliary and pancreatic surgery has progressed over the last years but has been slow to gain widespread acceptance even in some referral centers worldwide. Cost implications of a mini-invasive approach to hepatobiliary and pancreatic surgery are still unknown. A systematic review of the literature was performed. The total cost was lower in patients managed by laparoscopic liver resection. The total cost was lower in the laparoscopic pancreatic resection than in open pancreatic resection. This systematic review support the economic advantage of laparoscopic over open approach to liver and pancreatic resection.