Cost analysis of robotic versus laparoscopic general surgery procedures.

作者: Rana M. Higgins , Matthew J. Frelich , Matthew E. Bosler , Jon C. Gould

DOI: 10.1007/S00464-016-4954-2

关键词:

摘要: Robotic surgical systems have been used at a rapidly increasing rate in general surgery. Many of these procedures performed laparoscopically for years. In encounter, significant portion the total costs is associated with consumable supplies. Our hospital system has invested software program that can track We sought to determine differences cost consumables elective laparoscopic and robotic our health care organization. De-identified procedural equipment utilization data were collected from Surgical Profitability Compass Procedure Cost Manager System (The Advisory Board Company, Washington, DC) cholecystectomy, fundoplication, inguinal hernia between years 2013 2015. Outcomes length stay, case duration, supply cost. Statistical analysis was using t-test continuous variables, statistical significance defined as p < 0.05. The supplies significantly greater all procedures. Length stay did not differ fundoplication or cholecystectomy. repair. Case duration similar cholecystectomy (84.3 75.5 min laparoscopic, p = 0.08), but longer (197.2 162.1 min p = 0.01) repair (124.0 84.4 min p = ≪0.01). found increased surgery when cases commonly are instead robotically. limited by fact we only included initial acquisition (over $1 million system), depreciation, service contract this analysis.

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