Robotic single-site versus multiport laparoscopic cholecystectomy: a case-matched analysis of short- and long-term costs

Autor: Alexandre Balaphas, Michele Podetta, Jona M Mendoza, Leo Hans Buehler, Minoa Jung, Peter Rohner, Monika Hagen, Nicolas C. Buchs, Philippe Morel
Rok vydání: 2017
Předmět:
Zdroj: Surgical Endoscopy (2017)
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-017-5843-z
Popis: Multiport laparoscopy is the gold-standard approach for cholecystectomy, and single-port laparoscopy has been developed to further reduce its invasiveness. A specific robotic single-port platform (da Vinci single-site, Intuitive Surgical Inc., Sunnyvale, CA, USA) has been released in 2011, which could technically facilitate single-site cholecystectomy. Current data show its feasibility; however, detailed short- and long-term analyses of costs and comparisons relative to multiport laparoscopy are not available to date. Patients who underwent robotic single-site cholecystectomy for benign, clinically noninflammatory disease between 2011 and 2015 were matched for disease, age, gender, BMI, ASA classification, diagnosis, and elapsed year of surgery to a cohort of multiport cholecystectomies. Demographic, perioperative, and long-term data were collected retrospectively and analyzed. Perioperative and long-term costs including re-operations due to the primary procedure until February 2017 were compared across both cohorts. 99 patients who underwent robotic single-site cholecystectomy were matched to 99 patients with multiport cholecystectomy. A higher rate of outpatient procedures in the robotic cohort (31.3 vs. 17.2%, p = 0.0305) was found, and demographic parameters and perioperative clinical outcomes were similar. Perioperative costs were significantly higher for the robotic single-site patients (6158.0 vs. 4288.0 USD, p
Databáze: OpenAIRE
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