Introducing robotic radical hysterectomy for stage 1bi cervical cancer-A prospective evaluation of clinical and economic outcomes in a single UK institution
| Autor: | Marielle Nobbenhuis, Desmond Barton, Thomas Ind, Chris Marshall, Jenneke Kasius, John Butler |
|---|---|
| Přispěvatelé: | Obstetrics and Gynaecology |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Blood transfusion medicine.medical_treatment Biophysics Uterine Cervical Neoplasms Economic Hysterectomy Prospective evaluation 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Models Laparotomy Uterine Cervical Neoplasms/economics Cervical carcinoma medicine Humans Prospective Studies Radical Hysterectomy Stage (cooking) Aged Cervical cancer 030219 obstetrics & reproductive medicine business.industry Health Care Costs Middle Aged medicine.disease Hysterectomy/economics United Kingdom Computer Science Applications Surgery Models Economic Treatment Outcome 030220 oncology & carcinogenesis Female business Hospital stay human activities |
| Zdroj: | international journal of medical robotics + computer assisted surgery, 15(1). John Wiley and Sons Ltd |
| ISSN: | 1478-596X |
| Popis: | BACKGROUND: We have assessed the impact of introducing robotics for a stage 1b cervical cancer service on laparotomy rates, complications, and costs. METHODS: Data were collected prospectively from 90 consecutive patients who had a radical hysterectomy between 1 April 2010 and 31 December 2017. RESULTS: There were 37 women before the first robotic procedure and 53 after. The laparotomy rate reduced from 75% (9/12) in 2010 to 0% (0/18) in 2017. The length of stay reduced from 6 days (range 3-39) to 3 days (range 1-15) (P < 0.0001). The complication rate before robotics was 68% (25/37) compared with 45% (24/53) afterwards (P = 0.0493). The blood transfusion rate reduced from 43% (16/37) to 11% (6/53) (P = 0.0007). There were no differences between the total costs before and after the introduction of robotics or between each route. CONCLUSIONS: In this series, introducing robotics for cervical carcinoma reduced hospital stay and complications. No cost differences were demonstrated. |
| Databáze: | OpenAIRE |
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