Structured cost analysis of robotic TME resection for rectal cancer: a comparison between the da Vinci Si and Xi in a single surgeon's experience
| Autor: | Valentina Lorenzoni, Niccolò Furbetta, Giovanni Caprili, Simone Guadagni, Gregorio Di Franco, Matteo Bianchini, Desirée Gianardi, Alfred Cuschieri, Giuseppe Turchetti, Franco Mosca, Matteo Palmeri, Luca Morelli |
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| Rok vydání: | 2018 |
| Předmět: |
Da Vinci Si
Da Vinci Xi Rectal cancer Robotic surgery Structured costs analysis TME Surgery Adult Male medicine.medical_specialty Colorectal cancer CUSUM Variable cost Resection 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Outcome Assessment Health Care medicine Humans Hospital Costs Aged Retrospective Studies Aged 80 and over Proctectomy business.industry Rectal Neoplasms Middle Aged medicine.disease Single surgeon Italy 030220 oncology & carcinogenesis Cost analysis 030211 gastroenterology & hepatology Female business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 33(6) |
| ISSN: | 1432-2218 |
| Popis: | Robotic-assisted surgery by the da Vinci Si appears to benefit rectal cancer surgery in selected patients, but still has some limitations, one of which is its high costs. Preliminary studies have indicated that the use of the new da Vinci Xi provides some added advantages, but their impact on cost is unknown. The aim of the present study is to compare surgical outcomes and costs of rectal cancer resection by the two platforms, in a single surgeon’s experience. From April 2010 to April 2017, 90 robotic rectal resections were performed, with either the da Vinci Si (Si-RobTME) or the da Vinci Xi (Xi-RobTME). Based on CUSUM analysis, two comparable groups of 40 consecutive Si-RobTME and 40 consecutive Xi-RobTME were obtained from the prospectively collected database and used for the present retrospective comparative study. Data costs were analysed based on the level of experience on the proficiency–gain curve (p–g curve) by the surgeon with each platform. In both groups, two homogeneous phases of the p–g curve were identified: Si1 and Xi1: cases 1–19, Si2 and Xi2: cases 20–40. A significantly higher number of full RAS operations were achieved in the Xi-RobTME group (p |
| Databáze: | OpenAIRE |
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