Robot-assisted pelvic and renal surgery compared with laparoscopic or open surgery: Literature review of cost-effectiveness and clinical outcomes.
Scand J Surg
; 113(1): 13-20, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-37555486
ABSTRACT
BACKGROUND AND AIM:
The purpose of this study was to evaluate clinical experiences and cost-effectiveness by comparing robot-assisted surgery with laparoscopic- or open surgery for pelvic and renal operations.METHODS:
A narrative review was carried out.RESULTS:
When using robotic-assisted surgery, oncological and functional results are similar to after laparoscopic or open surgery. One exception may be a shorter survival in cancer of the cervix uteri. In addition, postoperative complications after robotic-assisted surgery are similar, bleeding and transfusion needs are less, and the hospital stay is shorter but the preparation of the operating theater before and after surgery and the operation times are longer. Finally, robot-assisted surgery has, in several studies, been reported to be not cost-effective primarily due to high investment costs. However, more recent studies provide improved cost-effectiveness estimates due to more effective preparation of the operating theater before surgery, improved surgeon experience, and decreased investment costs.CONCLUSIONS:
Complications and functional and oncological outcomes after robot-assisted surgery are similar to open surgery and laparoscopic surgery. The cost-effectiveness of robot-assisted surgery is likely to equal or surpass the alternatives.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Robótica
/
Laparoscopia
/
Procedimentos Cirúrgicos Robóticos
Tipo de estudo:
Health_economic_evaluation
Limite:
Female
/
Humans
Idioma:
En
Revista:
Scand J Surg
Ano de publicação:
2024
Tipo de documento:
Article