A retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis

Strosberg, David S.; Nguyen, Michelle C.; Muscarella, Peter; Narula, Vimal K.

doi:10.1007/s00464-016-5134-0

Cited by 54 publications

(29 citation statements)

References 17 publications

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“…The primary difference was attributable to the amortized cost of the robot and consumables for the system. A more recent retrospective study demonstrates increase in total cost for MPRC ($8,870 MPRC vs. $5,771 LC) and a decrease in revenue (-$848 MPRC vs. $186 LC) (17). However there was a higher percentage of chronic cholecystitis in the MPRC cohort (27.9% MPRC vs. 14.4% LC), which may have contributed to the increased hospital costs.…”

Section: The Cost Of Robotic Surgerymentioning

confidence: 97%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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Though laparoscopic cholecystectomy (LC) was highly criticized in its early stages, it quickly grew to become a new standard of care and has revolutionized the field of general surgery. Now emerging robotic technology is making its way into the minimally invasive arena. Robotic cholecystectomy (RC) is often disparaged as a costly technology that can lead to increased operative times with outcomes that are quite similar to LC. However, this perspective is skewed as many existing studies were performed in the early phase of learning for this procedure. RC can be performed in a cost-effective manner as the volume of robotic procedures increases. In addition, improved visualization and capability to perform fluorescence cholangiography can improve the safety profile of cholecystectomy to a level that has not yet been achieved with conventional laparoscopy. Advanced simulation technology for robotic surgery, and newer singlesite robotic platforms have the potential to further revolutionize this technology and lead to improved patient satisfaction. In this review, we will present current data, trends, and controversies in robotic-assisted cholecystectomy.

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Section: The Cost Of Robotic Surgerymentioning

confidence: 97%

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Zaman¹,

Singh²

2018

Hepatobiliary Surg. Nutr.

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“…In a comparison study, Strosberg et al [8] demonstrated RC had significantly lower rates of intraoperative cholangiography and conversion to an open procedure, and concluded RC appeared to be a safe and feasible procedure although costlier in comparison with LC. In a nationwide database study by Salman et al [9] which described when overall cost was considered including length of stay, robotic surgery appeared to be cost-effective and as safe as nonrobotic surgery.…”

Section: Introductionmentioning

confidence: 99%

Robotic versus conventional laparoscopic cholecystectomy: A comparative study of medical resource utilization and clinical outcomes

Wang

Lee

2017

The Kaohsiung J of Med Scie

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Conventional laparoscopic cholecystectomy (CLC) is currently the standard of surgical procedure for gallstone disease. Robotic cholecystectomy (RC) has revolutionized the field of minimally invasive surgery; it is safe and ergonomic, but expensive. The aim of this study is to compare the medical resource utilization and clinical outcomes between the two procedures. This study was conducted retrospectively by assessing data of the clinical outcomes and medical resource of 78 patients receiving RC and 367 patients receiving CLC. We reviewed the data of operation times, length of hospital stay, hospital charges, outpatient department visits, outpatient department service charges, and postoperative complications, which were retrieved from the health information system (HIS) database in this hospital. Patients in both groups had similar demographic and clinical features. The RC group had longer length of hospital stay (p=0.056), significantly longer operation time (p=0.035), and much more hospital charges (p=0.001). The RC group, however, experienced less postoperative complication rates (average 3.8% vs. 20.4%, p=0.001). Conversion rate was 1.9% in the CLC group versus 0% in the RC group (p=0.611). Most complications were mild, and following the Clavien-Dindo classification, there were two cases (2.5%) Grade I for the RC group; 50 cases (13.6%) Grade I and 14 cases (3.81%) Grade II for the CLC group (p<0.001 and 0.001, respectively). Procedure-related complications of Grade IIIa status were encountered in nine patients (2.45%) in the CLC group and none in the RC group (p=0.002).The RC group consumed more medical resources in the index hospitalization; however, they experienced significantly less postoperative complications.

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“…Robotic surgery and utilization of ICG may lead to a reduction in rates of conversion to open surgery [47,48]. In a large series of laparoscopic cholecystectomy, the rate of conversion is reported as 2.6-3%, with adhesions being the most common reason for conversion [49,50].…”

Section: Conversion To Openmentioning

confidence: 99%

“…Analyses of the outpatient costs of robotic-assisted cholecystectomy show higher total charges and costs when compared to laparoscopic surgery. However, proponents cite the numerous benefits of robotic surgery including enhanced surgeon ergonomics and the potential for building skills to perform more complex operations robotically [48,52]. In pediatric patients hospitalization cost for robotic compared to non-robotic averaged $11,000 vs. $7000 [26].…”

Section: Costmentioning

confidence: 99%

Robotic Approach to Cholecystectomy

Barrera¹,

Sugiyama²

2017

Updates in Gallbladder Diseases

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Cholecystectomy is one of the most commonly performed abdominal procedures with more than 600,000 performed annually in the United States. Laparoscopic cholecystectomy, first introduced in the 1980s, offered faster recovery time and a more cosmetic result making it the more favorable approach. In developed countries, up to 90% of cholecystectomies are done via laparoscopy. After the first robotic surgery platform was approved by the FDA in 2000, it provided surgeons with enhanced ergonomic capabilities and visualization and also offered possibility of telemedicine. The first series of robotic cholecystectomies soon followed in the last 15 years, and robotic cholecystectomy has become increasingly popular and has been established as a safe approach. The aims of this chapter are to address the history of robotic-assisted cholecystectomy, the technical aspects of multiport and single-port approaches, use of cholangiography, demonstration of safety and use in both community and academic settings.

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A retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis

Abstract: Robotic cholecystectomy appears to be safe although costlier in comparison with laparoscopic cholecystectomy. Further studies are needed to understand the long-term implications of robotic technology, the cost to the health care system, and its role in minimally invasive surgery.

Cited by 54 publications

References 17 publications

The emerging role for robotics in cholecystectomy: the dawn of a new era?

The emerging role for robotics in cholecystectomy: the dawn of a new era?

Robotic versus conventional laparoscopic cholecystectomy: A comparative study of medical resource utilization and clinical outcomes

Robotic Approach to Cholecystectomy

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