Is newer always better?: comparing cost and short-term outcomes between laparoscopic and robotic right hemicolectomy
| Autor: | Vikram Tiwari, Roberta L. Muldoon, Barbara J. Martin, David E. Beck, Alexander T. Hawkins, Molly M. Ford, M. Benjamin Hopkins, Mosope Soda, Timothy M. Geiger |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Total cost General surgery Retrospective cohort study Robotic assisted surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Cohort Medicine Operative time 030211 gastroenterology & hepatology Surgery Robotic surgery business Right hemicolectomy Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 36:2879-2885 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Enthusiasm is high for expansion of robotic assisted surgery into right hemicolectomy. But data on outcomes and cost is lacking. Our objective was to determine the association between surgical approach and cost for minimally invasive right hemicolectomy. We hypothesized that a robot approach would have increased costs (both economic and opportunity) while achieving similar short-term outcomes. We performed a retrospective cohort analysis with a simulation of operating room utilization at a quaternary care, academic institution. We enrolled patients undergoing minimally invasive right hemicolectomy from November 2017 to August 2019. Patients were categorized by the intended approach- laparoscopic or robotic. The primary outcome was the technical variable direct cost. Secondary outcomes included total cost, supply cost, operating room utilization, operative time, conversion, length of stay and 30-day post-operative outcomes. 79 patients were included in the study. A robotic approach was used in 22% of the cohort. The groups differed significantly only in etiology of surgery. Robotic surgery was associated with a 1.5 times increase in the technical variable direct cost (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink