Assessing the economic advantage of laparoscopic vs. open approaches for colorectal cancer by a propensity score matching analysis

摘要

Abstract Purposes This study investigated the surgical outcomes and potential economic advantage of open vs. laparoscopic surgery for colorectal cancer using a propensity score matching analysis. Methods We examined the surgical and economic outcomes of patients undergoing laparoscopic ( N ?=?127) and open surgery ( N ?=?253) for colorectal cancer and then compared these outcomes in two groups ( N ?=?103 each) using a propensity score matching analysis. Results Compared to open surgery, the laparoscopic approach was associated with a significantly lower overall morbidity rate (14 vs. 40%; P ? P ?=?0.001). Despite generating higher mean surgical costs (Japanese yen) (985,000?±?215,000 vs. 812,000?±?222,000 yen; P ? P ? P ?=?0.125). Conclusions Laparoscopic surgery for colorectal cancer is advantageous in reducing morbidity and facilitating an early discharge and does not increase hospital costs. These findings are consistent with the general consensus supporting the benefits of laparoscopic surgery as a minimally invasive approach.