Is robotic right colectomy economically sustainable? a multicentre retrospective comparative study and cost analysis.
Surg Endosc
; 34(9): 4041-4047, 2020 09.
Article
em En
| MEDLINE
| ID: mdl-31617088
ABSTRACT
BACKGROUND:
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.METHODS:
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.RESULTS:
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.CONCLUSION:
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.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Análise Custo-Benefício
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Colectomia
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Procedimentos Cirúrgicos Robóticos
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article