Does the cost of robotic cholecystectomy translate to a financial burden?

Abstract

Relative to laparoscopic cholecystectomy, robotic cholecystectomy takes longer and has greater charges. Revenue, EBDIT, and Net Income are similar after either approach; this indicates that costs with either approach are similar. Notably, this is possible because much of hospital-based costs are determined by cost allocation and not cost accounting. Thus, the cost of longer operations and costs inherent to the robotic approach for cholecystectomy do not translate to a perceived financial burden.

Total 5‐mm port approach: a feasible technique for both elective and emergency laparoscopic cholecystectomy

“…However, this requires investment in specific small‐sized instruments and the technique is also associated with a significant learning curve. The needlescopic instruments are fragile and the 3‐mm laparoscope has a short lifespan, a fact reflected in the use of larger (5‐mm or 10‐mm) ports for the laparoscope in most studies supporting the needlescopic approach …”

Total 5‐mm port approach: a feasible technique for both elective and emergency laparoscopic cholecystectomy

“…However, this requires investment in specific small‐sized instruments and the technique is also associated with a significant learning curve. The needlescopic instruments are fragile and the 3‐mm laparoscope has a short lifespan, a fact reflected in the use of larger (5‐mm or 10‐mm) ports for the laparoscope in most studies supporting the needlescopic approach …”

Financial modeling of current surgical robotic system in outpatient laparoscopic cholecystectomy: how should we think about the expense?

“…In this setting, the value proposition is hard to ascertain [11]. Robotic systems/accessory packages tailored to the financial pressures associated with these wellworked out commodity outpatient procedures could be offered making the use of a robotic system more viable from a financial point of view assuming the quality robotquality std issues are favorable [12].…”

Urgent and Elective Robotic Single-Site Cholecystectomy: Analysis and Learning Curve of 150 Consecutive Cases

“…The published data on additional healthcare costs attributable to the robotic system remain unclear and are a source of active analysis. [27][28][29] Based on our findings, we believe a randomized trial is necessary to compare healthcare utilization and outcomes of RSSC as compared with standard laparoscopic cholecystectomy.…”

Total 5‐mm port approach: a feasible technique for both elective and emergency laparoscopic cholecystectomy

“…However, this requires investment in specific small‐sized instruments and the technique is also associated with a significant learning curve. The needlescopic instruments are fragile and the 3‐mm laparoscope has a short lifespan, a fact reflected in the use of larger (5‐mm or 10‐mm) ports for the laparoscope in most studies supporting the needlescopic approach …”

Financial modeling of current surgical robotic system in outpatient laparoscopic cholecystectomy: how should we think about the expense?

“…In this setting, the value proposition is hard to ascertain [11]. Robotic systems/accessory packages tailored to the financial pressures associated with these wellworked out commodity outpatient procedures could be offered making the use of a robotic system more viable from a financial point of view assuming the quality robotquality std issues are favorable [12].…”

Urgent and Elective Robotic Single-Site Cholecystectomy: Analysis and Learning Curve of 150 Consecutive Cases

“…The published data on additional healthcare costs attributable to the robotic system remain unclear and are a source of active analysis. [27][28][29] Based on our findings, we believe a randomized trial is necessary to compare healthcare utilization and outcomes of RSSC as compared with standard laparoscopic cholecystectomy.…”

Total 5‐mm port approach: a feasible technique for both elective and emergency laparoscopic cholecystectomy

“…However, this requires investment in specific small‐sized instruments and the technique is also associated with a significant learning curve. The needlescopic instruments are fragile and the 3‐mm laparoscope has a short lifespan, a fact reflected in the use of larger (5‐mm or 10‐mm) ports for the laparoscope in most studies supporting the needlescopic approach …”

Financial modeling of current surgical robotic system in outpatient laparoscopic cholecystectomy: how should we think about the expense?

“…In this setting, the value proposition is hard to ascertain [11]. Robotic systems/accessory packages tailored to the financial pressures associated with these wellworked out commodity outpatient procedures could be offered making the use of a robotic system more viable from a financial point of view assuming the quality robotquality std issues are favorable [12].…”

Urgent and Elective Robotic Single-Site Cholecystectomy: Analysis and Learning Curve of 150 Consecutive Cases

“…The published data on additional healthcare costs attributable to the robotic system remain unclear and are a source of active analysis. [27][28][29] Based on our findings, we believe a randomized trial is necessary to compare healthcare utilization and outcomes of RSSC as compared with standard laparoscopic cholecystectomy.…”