Reducing Robotic Prostatectomy Costs by Minimizing Instrumentation

Abstract

Simple changes to surgeon preference and creative utilization of instruments can eliminate 40% of costs incurred on robotic instruments alone. Moreover, EBL, operative times, and intraoperative complications are not compromised as a result of cost reduction. Our process of identifying such improvements is straightforward and may be replicated by other robotic surgeons. Further prospective multicenter trials should be initiated to assess other methods of cost reduction.

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]. The presence of a wellestablished minimally invasive standard of near-complete penetration in the market associated with a very low complication rate (that still could be improved) creates a very high bar for robotically assisted procedures on the benign gallbladder [13].…”

Implementing a perioperative efficiency initiative for orthopedic surgery instrumentation at an academic center

“…Other settings in which efforts to streamline surgical instrumentation have been evaluated include gynecologic surgery, robot-assisted prostatectomy, central venous catheter placement, and endovascular neurosurgical procedures. [17–20] In general, these process changes have been accomplished without negative impact on patient outcomes or surgeon/staff satisfaction.…”

Robotic Surgery: Technological Developments and the Position in Urological Surgery

“…Güncel bir çalışmada, ligassure ve damar mühürleyiciler gibi pahalı enstrümanlar yerine hem-o-lok klips vb. gibi daha ucuz malzemeler kullanılarak maliyetin %40 oranında azaltılabileceği gösterilmiştir (6). Bu şekilde olgu başı maliyet düşürülse dahi, sistemin kurulum maliyeti, yıllık bakım maliyeti ve robotik kol maliyetleri gözönünde bulundurulduğunda, maliyet etkinlik probleminin uzunca bir süre devam edeceği düşünülmektedir.…”