Current Financial State Of Laparoscopic Procedures

As experience with laparoscopy has increased and operative times have improved, some laparoscopic procedures such as laparoscopic nephrectomy and partial nephrec-tomy have been shown to be cost superior despite higher equipment costs (2,8). On the other hand, procedures such as laparoscopic pyeloplasty, hand-assisted nephrectomy, donor nephrectomy, retroperitoneal lymph node dissection, and prostatectomy are more expensive but can reach cost-equivalence depending on a surgeon's individual operative time and length of hospital stay (3,4,6,7,26).

At this time, however, robot-assisted prostatectomy is significantly more costly than open surgery due to the cumulative added expense of robot purchase and maintenance, along with individual case equipment costs (7).

Currently, the most common urologic diseases to which laparoscopic techniques are applicable include kidney and prostate cancer. Understanding the economics of these procedures offers insight into the direction of laparoscopy as a whole.

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