Cost-conscious robotic restorative proctectomy has similar economic and oncologic outcomes to open restorative proctectomy: Results of a long-term follow-up study.
Int J Med Robot
; 17(6): e2331, 2021 Dec.
Article
in En
| MEDLINE
| ID: mdl-34514721
ABSTRACT
BACKGROUND:
In this study, we hypothesised that the direct hospital costs of robotic restorative proctectomy (RP) would be similar to those of open RP when a cost-conscious approach was employed in rectal cancer patients.METHODS:
We included consecutive patients with rectal cancer who underwent RP between 12/2011 and 10/2014. A cost-conscious approach was employed in robotic surgery. We compared demographics, long-term oncologic outcomes, and direct hospital costs between the open and robotic groups.RESULTS:
There were 32 robotic and 68 open RP procedures performed. Compared to open RP, the robotic RP group had a longer operative time but less estimated blood loss, intraoperative transfusions, overall short-term morbidity, decreased length of stay. After the initial five robotic cases, overall hospital costs were comparable between the groups (1 ± 0.5 vs. 1 ± 0.4, open and robotic RP, respectively, p = 0.90).CONCLUSION:
Increasing surgeon experience and a cost-conscious approach may improve the value of care of robotic RP in patients with rectal cancer.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Rectal Neoplasms
/
Laparoscopy
/
Robotic Surgical Procedures
/
Proctectomy
Type of study:
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Int J Med Robot
Year:
2021
Document type:
Article
Affiliation country:
United States