Colecistectomia in videolaparoscopia: particolari e varianti di tecnica chirurgica

indicazioni, varanti di tecnica e controindicazioni della colecistectomia V

Valutazione dei costi nella chirurgia dell’ernia inguinale. Day surgery e one day surgery versus ricovero ordinario

The authors have completed an analytic research about costs of hospitalization and treatment for inguinal hernioplasty and costs of anesthesiologic and surgical techniques and hospitalization regimen. The authors consider possible in about 50% of cases the tension-free hernioplasty carried out with local anesthesia and day or one day surgery regimen and they have estimated that it is very less costly then traditional herniorraphy carried out with general anesthesia and hospitalization: L. 1.056.075 versus L. 2.252.650. In Emilia-Romagna we could have a considerable cost-saving, even if only the 50% of patients treated for uncomplicated inguinal hernia every year (7.133 patients with mean hospital stay = 5,8 days and total hospitalization = 41.731 days during 1993) could benefit by treatment in one day surgery regimen. In fact, leaving out of account the advantage of the rapid return the patient to work, the costs of hospital stay, esteemed in L. 25.038.600.000, would be L. 8.558.700.000. A considerable increase of one day surgery hernioplasties should be expected by the hospital administration in budget planning

Pancreatic cholesterol esterase of intestinal mucosa: characterization of enzymatic activity in humans

Not applicabl

Pattern of faecal neutral sterol excretion in patients with colonic tumors

Not applicabl

Ernia di Spigelio.

Cod. CNR P 0013506

Preparazione del paziente alla chirurgia digestiva.

Cod. CNR P 0000237

Costi della colecistectomia dopo l’avvento della chirurgia video-laparoscopica

The authors proceeded to point out the hospital stay costs and the operating-room costs of the cholecystectomy after the introduction of the laparoscopic technique, underlining the higher economic advantages. The total unit cost for laparoscopic cholecystectomy, even if there are higher costs due to the surgical equipment, thanks to the mini-invasive approach and to the reduced hospital stay, results lower (17%) then the total unit cost for laparotomic cholecystectomy (L. 3.982.489 vs. L. 4.825.300). Let us suppose that in the Emilia Romagna Region an 80% of patients underwent to laparoscopic cholecystectomy and only a 20% underwent to laparotomic cholecystectomy: in this case there could be the economic savings of L. 3.777.478.902 and concerning the hospital stay there could be the savings of 17.928 days too. This cost estimation is important if we consider that the rate of cholecystectomy procedures, in our local area, per 1000 inhabitants, increased from 2.29 in 1990 to 3.99 in 1992 (rate of increase: 74%)

Addominoplastica e chirurgia di cavità.

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Faecal sterols and colonic tumours: extretion and degradation of faecal neutral sterols in selected groups of subjects at high risk for colorectal cancer

Not applicabl

Cholesterol esterase activity in the small bowel of humans

Not applicabl