Journal article
Minimally Invasive Liver Resection: Robotic Versus Laparoscopic Left Lateral Sectionectomy
Journal of gastrointestinal surgery, Vol.16(12), pp.2233-2238
12/01/2012
DOI: 10.1007/s11605-012-2040-1
PMCID: PMC3509231
PMID: 23054901
Abstract
The purpose of this study was to compare the clinical and economic outcomes of robotic versus laparoscopic left lateral sectionectomy (LLS).
A retrospective analysis was made comparing robotic (n = 11) and laparoscopic (n = 18) LLS performed at the University of Pittsburgh Medical Center between January 2009 and July 2011. Demographic data, operative, and postoperative outcomes were collected.
Demographic and tumor characteristics of robotic and laparoscopic LLS were similar. There were also no significant differences in operative outcomes including estimated blood loss and operating room time. Patients undergoing robotic LLS had more admissions to the ICU (46 versus 6 %), increased rate of minor complications (27 versus 0 %), and longer lengths of stay (4 versus 3 days). There were no significant differences in major complication rates or 90-day mortality. The cost of robotic and laparoscopic LLS was not significantly different when only considering direct costs ($5,130 versus $4,408, p = 0.401). However, robotic LLS costs were significantly greater when including indirect costs, which were estimated to be $1,423 per robotic case ($6,553 versus $4,408, p = 0.021).
Robotic LLS yields slightly inferior clinical outcomes and increased cost compared to the laparoscopic approach.
Details
- Title: Subtitle
- Minimally Invasive Liver Resection: Robotic Versus Laparoscopic Left Lateral Sectionectomy
- Creators
- Vignesh Packiam - University of Pittsburgh Medical CenterDavid L. Bartlett - University of Pittsburgh Medical CenterSamer Tohme - University of Pittsburgh Medical CenterSrinevas Reddy - University of Pittsburgh Medical CenterJ. Wallis Marsh - University of Pittsburgh Medical CenterDavid A. Geller - University of Pittsburgh Medical CenterAllan Tsung - University of Pittsburgh Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of gastrointestinal surgery, Vol.16(12), pp.2233-2238
- Publisher
- Springer Nature
- DOI
- 10.1007/s11605-012-2040-1
- PMID
- 23054901
- PMCID
- PMC3509231
- ISSN
- 1091-255X
- eISSN
- 1873-4626
- Number of pages
- 6
- Grant note
- R01GM095566 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) R01 GM095566 / NIGMS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS)
- Language
- English
- Date published
- 12/01/2012
- Academic Unit
- Urology
- Record Identifier
- 9984320067602771
Metrics
10 Record Views