Table 3.
Approximate cost comparison of traditional management with acute laparoscopic cholecystectomy
| Actual Management | With acute laparoscopic cholecystectomy for acute biliary admissions | ||||
|---|---|---|---|---|---|
| Number × tariff* | Income (£) | Number × tariff* | Income (£) | ||
| Group 1 | |||||
| Routine elective LC | 131 × C | 228,071 | Routine elective LC | 131 × C | 228,071 |
| Admitted (P/OJ) | 6 × B | 11,508 | Admitted + ALC | 16 × D | 53,264 |
| Admitted (BC/AC) | 10 × A | 11,220 | |||
| Subsequent elective LC | 16 xC | 27,856 | |||
| Subtotals | 278,655 | 281,335 | |||
| Group 2 | |||||
| Successful initial management of AC/BC | 60 × A | 67,320 | Initial ALC | 112 × D | 372,848 |
| Successful initial management of P/OJ | 28 × B | 53,704 | |||
| Elective LC after single admission | 88 × C | 153,208 | |||
| Total re-admissions with AC/BC | 27 × A | 30,294 | |||
| Total re-admissions with P/OJ | 10 × B | 19,180 | |||
| Eventual elective LC | 24 × C | 41,784 | |||
| Subtotals | 365,490 | 372,848 | |||
| Total | 644,145 | 654,183 | |||
*
Tariffs taken from Table 2.
AC, acute cholecystitis; BC, biliary colic; P, pancreatitis, OJ, obstructive jaundice; (A)LC, (acute) laparoscopic cholecystectomy.