Abstract
The study aims to conduct a comparative assessment of the clinical and economic efficiency of laparoscopic cholecystectomy and mini-access cholecystectomy in 116 patients with acute calculous cholecystitis who have undergone treatment. The clinical efficiency was substantiated by the shorter time of surgery, duration of in-hospital treatment, number of clinical and laboratory examinations, and duration of analgesic and anticoagulant therapy prescriptions. In acute calculous cholecystitis, laparoscopic cholecystectomy was 5 144.1 rubles less expensive than mini-access, while in acute gangrenous calculous cholecystitis it cost 28 881.0 rubles less. The use of less expensive surgical technology makes it possible to save money and therefore treat by 5 and 25 % more patients with acute catarrhal calculous cholecystitis and acute gangrenous calculous cholecystitis, respectively, using the budget.
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