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Is robotic right colectomy economically sustainable? a multicentre retrospective comparative study and cost analysis
- Source :
- Surgical endoscopy. 34(9)
- Publication Year :
- 2019
-
Abstract
- Background\ud Following the Food and Drug Administration approval, robot-assisted colorectal surgery has gained more acceptance among surgeons. One of the open issues about robotic surgery is the economic sustainability. The aim of our study is to evaluate the economic sustainability of robotic as compared to laparoscopic right colectomy for the Italian National Health System.\ud \ud Methods\ud We performed a retrospective multicentre case-matched study including 94 patients for each group from four different Italian surgical departments. An economic evaluation gathered from a real-world data was performed to assess the sustainability of the robotic approach for right colectomy in the Italian National Health System. In particular, a differential cost analysis between the two procedures was performed.\ud \ud Results\ud No statistical differences were found between the two groups for postoperative outcomes. After a careful review of the literature on the cost assessment for the operative room, medical devices and hospital stay according with our data, we estimated the followings: (a) the mean operative room cost for robotic group was 2179 ± 476 € vs. 1376 ± 322 € for laparoscopic group; (b) the mean hospital stay cost for robotic group was 3143 ± 1435 € vs. 3292 ± 1123 € for laparoscopic group; and (c) the mean cost for instruments was 6280 € for robotic group vs. 1504 € for laparoscopic group. The total mean cost of robotic right colectomy was 11,576 ± 1915 € vs. 6196 ± 1444 € for laparoscopic right colectomy.\ud \ud Conclusion\ud In conclusion, to date, robotic right colectomy with intracorporeal anastomosis does not provide any significant clinical advantages, which may justify the additional costs, as compared to its laparoscopic counterpart. Further evolution of robotic technology and experience may lead to a reduction of costs, especially if the robotic platform is used in an appropriate healthcare setting.
- Subjects :
- Laparoscopic surgery
Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Cost-Benefit Analysis
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Health care
Cost analysi
Medicine
Humans
Robotic surgery
Colectomy
Aged
Retrospective Studies
Aged, 80 and over
Postoperative Care
business.industry
General surgery
Right colectomy
technology, industry, and agriculture
Length of Stay
Middle Aged
R1
Colorectal surgery
Real-world data
body regions
Italy
030220 oncology & carcinogenesis
Right Colectomy
Economic evaluation
Cost analysis
030211 gastroenterology & hepatology
Surgery
Female
Laparoscopy
TJ
business
RD
Abdominal surgery
Subjects
Details
- ISSN :
- 14322218 and 09302794
- Volume :
- 34
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Surgical endoscopy
- Accession number :
- edsair.doi.dedup.....9f84df7c494e179bc4b82e6042abd2a7