A Cost-analysis Study of Robotic Versus Conventional Mitral Valve Repair

Robotic surgery is the optimal approach for mitral surgery

“…Patients who underwent robotic surgery were associated with a significantly shorter duration of hospitalization (4 vs. 6 days, P<0.001) and no significant differences in total costs were identified. This was consistent with institutional studies that reported similar costs of robotic versus conventional mitral valve surgery (15). We have also demonstrated that cost savings can be made through systems innovation to optimize in-hospital resource utilization (16).…”

Robotic Mitral Valve Repair for Degenerative Mitral Valve Regurgitation

“…Follow-up from 1 to 3 years shows that >90% of patients are free of moderate-to-severe mitral regurgitation (MR) and the need for another mitral valve procedure. However, despite the apparent cost savings of spending 1 less day in the hospital, Kam and coworkers 7 could not demonstrate any differences in hospital expenses for patients undergoing robotic mitral repairs. The decreased LOS appears to be offset by increased operation time.…”

Do Costs of Robotic Surgery Matter?

“…Robotic mitral valve repair (MVR) has been performed in Australia since 2004. Kam et al retrospectively compared 107 robotic and 40 conventional MVRs and performed an ad hoc cost analysis (33). The post-operative degrees of mitral regurgitation were comparable.…”

“…Therefore the crucial question is whether robotic surgery, being more expensive, is better than comparable traditional video-endoscopic and open surgery. Generally most robotic and laparoscopic procedures have less short term morbidity, blood loss, intensive care unit and hospital stay then open surgery (6,11,(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). Up to now no major differences have been found between robot-assisted and classic videoassisted procedures for these factors.…”