Cost Effectiveness of Laparoscopic Colorectal Surgery

Study Overview
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Brief Summary
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Hypothesis: The total costs of laparoscopic colorectal surgery are less than those of open surgery. Secondary hypothesis: Patients quality of life is higher following laparoscopic surgery, as compared to open colorectal surgery. Research objectives: To estimate the cost implications and clinical benefits of incorporating laparoscopic colorectal surgery into routine clinical practice. To examine whether the increased operative costs of laparoscopic surgery are compensated for by a faster recovery, shorter duration of hospital stay, and a reduction in late complications, as compared to open surgery. To investigate whether there are differences in quality of life following laparoscopic colorectal surgery as compared to open surgery. Lay summary: Patients needing an operation for a bowel problem have traditionally had an open operation with an incision on the abdomen, and this is the type of operation that is currently performed in the majority of cases in the United Kingdom today (over 90%). Laparoscopic (or keyhole) surgery has been introduced into bowel surgery, but is currently not widely performed. This is because thus far there have been no clear-cut benefits demonstrated with this technique and the perceived costs are higher than an open operation. The investigators aim to evaluate both of these issues.

Official Title
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Cost Effectiveness of Laparoscopic Colorectal Surgery

Conditions
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Colorectal Surgery

Intervention / Treatment
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* Procedure: laparoscopic colorectal resection
* Procedure: open colorectal resection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients having a colorectal resection, including benign and malignant tumours, inflammatory bowel disease, diverticular disease, and endometriosis Exclusion Criteria: Children Emergency procedures Patients unable to consent, unable to complete a quality of life diary

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Laparoscopic<br>Patients having a laparoscopic colorectal resection | Procedure: laparoscopic colorectal resection<br> <br> |
| Open<br>Patients having an open colorectal resection | Procedure: open colorectal resection<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The cost effectiveness of laparoscopic colorectal surgery |  | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Costs of laparoscopic and open colorectal surgery |  | 6 weeks | 
| Quality of life of patients having laparoscopic and open colorectal surgery |  | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Laparoscopy, Colorectal surgery, Quality of life, economic analysis, Patients undergoing laparoscopic colorectal surgery