HERNIOPLASTIA INCISIONAL ROBÓTICA VERSUS LAPAROSCÓPICA: DIFERENÇAS NOS CUSTOS DIRETOS SOB A PERSPECTIVA DE UM INSTITUTO PÚBLICO BRASILEIRO

Autor: Thiago Nogueira COSTA, Francisco TUSTUMI, Lucas Sousa Maia FERROS, Bárbara Buccelli COLONNO, Ricardo Zugaib ABDALLA, Ulysses RIBEIRO-JUNIOR, Ivan CECCONELLO
Rok vydání: 2022
Předmět:
Zdroj: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), Volume: 35, Article number: e1714, Published: 09 JAN 2023
ISSN: 2317-6326
0102-6720
DOI: 10.1590/0102-672020220002e1714
Popis: BACKGROUND: Robotic-assisted surgery research has grown dramatically in the past two decades and the advantages over traditional videolaparoscopy have been extensively debated. For hernias, the robotic system can increase intraoperative strategies, especially in complex hernias or incisional hernias. AIMS: This study aimed to compare the direct cost differences between robotic and laparoscopic hernia repair and determine each source of expenditure that may be related to the increased costs in a robotic program from the perspective of a Brazilian public institution. METHODS: This study investigated the differences in direct costs from the data generated from a trial protocol (ReBEC: RBR-5s6mnrf). Patients with incisional hernia were randomly assigned to receive laparoscopic ventral incisional hernia repair (LVIHR) or robotic ventral incisional hernia repair (RVIHR). The direct medical costs of hernia treatment were described in the Brazilian currency (R$). RESULTS: A total of 19 patients submitted to LVIHR were compared with 18 submitted to RVIHR. The amount spent on operation room time (RVIHR: 2,447.91±644.79; LVIHR: 1,989.67±763.00; p=0.030), inhaled medical gases in operating room (RVIHR: 270.57±211.51; LVIHR: 84.55±252.34; p=0.023), human resources in operating room (RVIHR: 3,164.43±894.97; LVIHR: 2,120.16±663.78; p
Databáze: OpenAIRE
Externí odkaz: