Precancerous Polyp Removal Technique Could Save Millions of Healthcare Dollars
Digestive Disease Week suggests that laparoscopic-assisted colonoscopy with polypectomy for polyp removal could reduce the length of hospital stay and save the healthcare system millions of dollars.
Laparoscopic hemicolectomy is the traditional approach to the removal of difficult polyps, but involves the removal of the entire section of the colon containing the polyp.
LACP uses both a laparoscope and an endoscope to find and remove just the polyp.
The researchers found:
• LHC had an average discharge time of four days
• LACP had an average discharge time of two-and-a-half days
• Average operating time for LHC was 179 minutes
• Average operating time for LACP was 95 minutes
• LHC patients had an estimated blood loss of 13 ml
• LACP had an estimated blood loss of 63 ml
• LHC patients required 3.1 liters of IV fluid
• LACP patients required 2.1 liters of IV fluid
“About 25 percent of patients undergoing colonoscopy require polyp removal, and a significant proportion of these patients have large polyps that cannot be easily removed by standard advanced endoscopic techniques,” says study author Justin Buscaglia, MD, according to the news release. “These findings suggest that we may need to tailor our surgical approach to ensure every patient receives the best care possible, regardless of polyp removal difficulty.”
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