Abstract:

Laparoscopic sleeve gastrectomy (LSG) is an easy and safe surgical procedure that gives effective results. The cost of the LSG surgery can be affected by many parameters as well as the medical materials used. This study aims to determine the factors affecting the cost of this procedure and whether it is a cost-effective method in hospitals. Methods: LSG operations performed in 2016 in a public hospital were reviewed backward. The patient’s age, gender, body mass index, duration of stay in the hospital, the need for monitoring in the postoperative intensive care unit and the presence of complications are determined. In addition, all the costs incurred during the LSG procedure and the invoicing amounts to the social insurance institution were determined. The costs and the invoiced amount of more than 80 percent were grouped in the form of "augmented costs" and "augmented invoiced amount". Patients below 60 percent were also grouped in the form of "normal cost" and "normal invoice amount". Increased and normal groups were compared between age, gender, body mass index, duration of stay in the hospital, the need for monitoring in intensive care and the presence of complications. The study included a total of 121 patients (10 men, 111 women). The average age is 38.7 found. The average body mass index was 47.6. The normal cost group included 95, the increased cost group included 26, the normal bill amount group included 96 and the increased bill amount group included 25 patients. It was found that all 7 patients developing the complication were included in the increased bill amount group and 6 were also included in the increased cost group (p=0,001). In the increased bill amount group and in the increased cost group, the duration of stay in the hospital was established 14.3±19.7 and 14.4±19.7 days respectively (p=0,001). There was no significant difference between the groups in terms of age, gender, body mass index and intensive care needs (p>0,05). The result: the development of complications after laparoscopic sleeve gastrectomy and the associated increase in the deposit time increases the cost of the procedure. There is no relationship between the patient's variables and the cost increase. Therefore, the factors affecting the cost increase should be considered unpredictable.

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