Laparoscopic versus open appendectomy in children: The effect of surgical technique on healthcare costs

Maria Michailidou, Seth D. Goldstein, Maria G. Sacco Casamassima, Jose H. Salazar, Robert Elliott, John Hundt, Fizan Abdullah

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background Reducing healthcare costs while maintaining quality of care is one of the challenges of the current healthcare system. The purpose of this study was to compare the hospital charges accrued following laparoscopic (LA) and open (OA) appendectomies in the pediatric population. Methods We retrospectively reviewed all pediatric appendectomies (n = 264) performed from 2007 to 2013 at a single academic center. Subgroup analysis on charges and costs was performed on perforated and nonperforated LA and OA. Results A total of 195 (73.9%) appendectomies were performed laparoscopically. LA in both perforated and nonperforated groups was associated with higher surgical supply, operating room, and total hospital charges compared with OA. Surgical supply costs to the facility were higher by an average of $1,000 for both nonperforated and perforated appendicitis in the LA group. Length of stay and postoperative complications were comparable within all groups. Conclusions In this study, LA is associated with significantly higher surgical costs and charges than OA without improvement in outcomes. Investigation into cost reduction strategies of laparoscopy should be a component of future clinical appendicitis research.

Original languageEnglish (US)
Pages (from-to)270-275
Number of pages6
JournalAmerican Journal of Surgery
Issue number2
StatePublished - Aug 1 2015


  • Costs
  • Laparoscopy
  • Pediatric appendicitis
  • Surgical technique

ASJC Scopus subject areas

  • Surgery
  • General Medicine


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