The surgeons and anesthesiologists bought the cd players, not the hospitals
. And no, they aren't necessary, but they don't change the cost of the proceedure either.
It's just a matter of where one wants to draw the line. I`ve done lap appys, and i just didn't really see any diff between the two. Costs are not the MAJOR factor here for me, but it is a factor. I see the two proceedures outcomes to be equal. I don't see a clear advantage of one over the other, and when the new proceedure costs probably 2.5k$ more i chose the less expensive way. Doing 100 appys a yr translates to an increase of 1/4 of a million $ in costs. If i could see a CLEAR advantage doing lap appys I would change. I do see an advantage with lap chole's.