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Efficacy and cost of robotic hepatectomy: is the robot cost-prohibitive?
- Source :
-
Journal of robotic surgery [J Robot Surg] 2016 Dec; Vol. 10 (4), pp. 307-313. Date of Electronic Publication: 2016 May 06. - Publication Year :
- 2016
-
Abstract
- Robotic technology is being utilized in multiple hepatobiliary procedures, including hepatic resections. The benefits of minimally invasive surgical approaches have been well documented; however, there is some concern that robotic liver surgery may be prohibitively costly and therefore should be limited on this basis. A single-institution, retrospective cohort study was performed of robotic and open liver resections performed for benign and malignant pathologies. Clinical and cost outcomes were analyzed using adjusted generalized linear regression models. Clinical and cost data for 71 robotic (RH) and 88 open (OH) hepatectomies were analyzed. Operative time was significantly longer in the RH group (303 vs. 253 min; p = 0.004). Length of stay was more than 2 days shorter in the RH group (4.2 vs. 6.5 days; p < 0.001). RH perioperative costs were higher ($6026 vs. $5479; p = 0.047); however, postoperative costs were significantly lower, resulting in lower total hospital direct costs compared with OH controls ($14,754 vs. $18,998; p = 0.001). Robotic assistance is safe and effective while performing major and minor liver resections. Despite increased perioperative costs, overall RH direct costs are not greater than OH, the current standard of care.
- Subjects :
- Carcinoma, Hepatocellular economics
Costs and Cost Analysis
Female
Hepatectomy methods
Humans
Length of Stay
Liver Neoplasms economics
Male
Middle Aged
Operative Time
Postoperative Care economics
Postoperative Complications economics
Postoperative Complications etiology
Retrospective Studies
Carcinoma, Hepatocellular surgery
Hepatectomy economics
Liver Neoplasms surgery
Robotic Surgical Procedures economics
Subjects
Details
- Language :
- English
- ISSN :
- 1863-2491
- Volume :
- 10
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of robotic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 27153838
- Full Text :
- https://doi.org/10.1007/s11701-016-0598-4