A comparative cost analysis of robotic-assisted surgery versus laparoscopic surgery and open surgery: the necessity of investing knowledgeably

2016 ◽  
Vol 30 (11) ◽  
pp. 5044-5051 ◽  
Author(s):  
Giorgia Tedesco ◽  
Francesco C. Faggiano ◽  
Erica Leo ◽  
Pietro Derrico ◽  
Matteo Ritrovato
Keyword(s):  
Laparoscopic Surgery ◽  
Cost Analysis ◽  
Open Surgery ◽  
Robotic Assisted ◽  
Comparative Cost ◽  
Robotic Assisted Surgery

scholarly journals Improved perioperative outcomes and reduced inflammatory stress response in malignant robotic-assisted colorectal resections: a retrospective cohort study of 298 patients

2021 ◽  
Author(s):  
Pedja Cuk ◽  
Randi Maria Simonsen ◽  
Mirjana Komljen ◽  
Michael Festersen Nielsen ◽  
Per Helligsø ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Stress Response ◽  
Retrospective Cohort ◽  
Interquartile Range ◽  
Short Term ◽  
Inflammatory Stress ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery ◽  
Colorectal Resections

Abstract Background Robotic-assisted surgery is increasingly implemented for the resection of colorectal cancer, although the scientific evidence for adopting this technique is still limited. This study's main objective was to compare short-term complications, oncological outcomes, and the inflammatory stress response after colorectal resection for cancer performed laparoscopic or robotic-assisted. Methods We conducted a retrospective cohort study comparing the robotic-assisted approach to laparoscopic surgery for elective malignant colorectal neoplasm. Certified colorectal and da Vinci ® robotic surgeons performed resections at a Danish tertiary colorectal high volume centre from May 2017 – March 2019. We analyzed the two surgical groups using uni- and multivariate regression analyses to detect differences in intra- and postoperative clinical outcomes and the inflammatory stress response. Results Two hundred and ninety-eight patients were enrolled in the study. Significant differences favoring robotic-assisted surgery was demonstrated for; length of hospital stay (4 days, interquartile range (4–5) versus 5 days, interquartile range (4–7), p < 0.001) and intraoperative blood loss (50 mL, interquartile range (20–100) versus 100 mL, interquartile range (50–150), p < 0.001) compared to laparoscopic surgery. The inflammatory stress response was significantly higher after laparoscopic compared to robotic-assisted surgery reflected by an increase in C-reactive protein concentration (exponentiated coefficient = 1.20, 95% confidence interval (1.04–1.40), p < 0.001). No differences between the two groups were found concerning mortality, microradical resection rate, conversion to open surgery and surgical or medical short-term complications. Conclusion Robotic-assisted surgery is feasible and can be safely implemented for colorectal resections. The robotic-assisted approach, when compared to laparoscopic surgery, was associated with improved intra- and postoperative outcomes. Extensive prospective studies are needed to determine the short and long-term outcomes of robotic surgery for colorectal cancer.

scholarly journals Laparoscopic Robotic Surgery: Current Perspective and Future Directions

Robotics ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 42 ◽  
Author(s):  
Sally Kathryn Longmore ◽  
Ganesh Naik ◽  
Gaetano D. Gargiulo
Keyword(s):  
Laparoscopic Surgery ◽  
Open Surgery ◽  
Da Vinci ◽  
Future Directions ◽  
Surgical Interventions ◽  
Robotic Assisted Surgery ◽  
Current Perspective ◽  
Giant Leap ◽  
Display Technology ◽  
Near Future

Just as laparoscopic surgery provided a giant leap in safety and recovery for patients over open surgery methods, robotic-assisted surgery (RAS) is doing the same to laparoscopic surgery. The first laparoscopic-RAS systems to be commercialized were the Intuitive Surgical, Inc. (Sunnyvale, CA, USA) da Vinci and the Computer Motion Zeus. These systems were similar in many aspects, which led to a patent dispute between the two companies. Before the dispute was settled in court, Intuitive Surgical bought Computer Motion, and thus owned critical patents for laparoscopic-RAS. Recently, the patents held by Intuitive Surgical have begun to expire, leading to many new laparoscopic-RAS systems being developed and entering the market. In this study, we review the newly commercialized and prototype laparoscopic-RAS systems. We compare the features of the imaging and display technology, surgeons console and patient cart of the reviewed RAS systems. We also briefly discuss the future directions of laparoscopic-RAS surgery. With new laparoscopic-RAS systems now commercially available we should see RAS being adopted more widely in surgical interventions and costs of procedures using RAS to decrease in the near future.

Comparative cost analysis of three different anesthesia methods in gynecological laparoscopic surgery

2012 ◽  
Vol 6 (3) ◽  
pp. 311-316 ◽  
Author(s):  
Xiaohui Chi ◽  
Yeling Chen ◽  
Mingfeng Liao ◽  
Fei Cao ◽  
Yuke Tian ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Cost Analysis ◽  
Comparative Cost

374 ONE YEAR UPDATED COMPARATIVE COST- ANALYSIS OF OPEN AND ROBOTIC-ASSISTED RADICAL PROSTATECTOMY

2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Jeffrey Tomaszewski ◽  
Benjamin Davies ◽  
Stephen Jackman ◽  
Ronald Hrebinko ◽  
Joel Nelson
Keyword(s):  
Radical Prostatectomy ◽  
Cost Analysis ◽  
Robotic Assisted ◽  
Comparative Cost ◽  
Robotic Assisted Radical Prostatectomy ◽  
One Year

A Comparative Direct Cost Analysis of Pediatric Urologic Robot-Assisted Laparoscopic Surgery Versus Open Surgery: Could Robot-Assisted Surgery Be Less Expensive?

2012 ◽  
Vol 26 (7) ◽  
pp. 871-877 ◽  
Author(s):  
Courtney K. Rowe ◽  
Michael W. Pierce ◽  
Katherine C. Tecci ◽  
Constance S. Houck ◽  
James Mandell ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Cost Analysis ◽  
Direct Cost ◽  
Open Surgery ◽  
Robot Assisted ◽  
Robot Assisted Surgery

scholarly journals Robotic-assisted surgery for low rectal cancer: Initial experiences from 15 consecutive cases at Cho Ray Hospital

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Viet Trung Lam ◽  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Range Of Motion ◽  
Laparoscopic Resection ◽  
Low Rectal Cancer ◽  
Safe Procedure ◽  
Conventional Laparoscopic Surgery ◽  
Robotic Assisted ◽  
Conventional Laparoscopic ◽  
Robotic Assisted Surgery

Abstract Introduction: Conventional laparoscopic surgery for low rectal cancer has several challenges regarding the technique issues such as a limited range of motion instruments. With the advantages, Robotic-assisted surgery has resolved this problems compared with the conventional laparoscopic surgery because it’s dexterity could improve the range of motion instruments. To evaluate the short-term and early oncological outcomes of robotic-assisted surgery for low rectal cancer. Material and Methods: Prospective study to describe one consecutive series of robotic-assisted laparoscopic resection for low rectal cancer at Department of Digestive Surgery of Cho Ray hospital. Results: Between October 2017 and June 2018, robotic-assisted laparoscopic resection with total mesorectal excision has performed on 15 consecutive patients with rectal cancer at Cho Ray hospital. The mean age was 50. Male/ female ratio was 2.75/1. The types of procedures performed were: 13 low anterior resections (LAR), 1 intersphincteric resection with coloanal anastomosis, and 1 abdominoperineal resection (APR). The overall mean operation time was 240 minutes. None of the cases was converted to open procedure. Mean harvested lymph nodes were 12. There was no surgical morbidity or mortality. On the postoperative day 1 and 2, mean visual analog scale (VAS) scores were 3.5. Mean postoperative hospital stay was 7.5 days. Conclusion: Robotic-assisted laparoscopic resection for low rectal cancer is a feasible and safe procedure with acceptable oncological results.

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