Single-incision robotic colectomy: are costs prohibitive?

John C Byrn; Jennifer E Hrabe; John G Armstrong; Christopher A Anthony; Mary E Charlton

doi:10.1002/rcs.1665

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Single-incision robotic colectomy: are costs prohibitive?

Journal article

Peer reviewed

Single-incision robotic colectomy: are costs prohibitive?

John C Byrn, Jennifer E Hrabe, John G Armstrong, Christopher A Anthony and Mary E Charlton

The international journal of medical robotics + computer assisted surgery, Vol.12(2), pp.303-308

06/2016

DOI: 10.1002/rcs.1665

PMCID: PMC7351094

PMID: 25903546

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https://www.ncbi.nlm.nih.gov/pmc/articles/7351094View

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Abstract

The feasibility, safety, and costs of single-incision robotic colectomy (SIRC) are not known. A retrospective review was conducted, comparing the initial 29 consecutive SIRC procedures performed to 36 multiport laparoscopic colectomies (MLC). The groups did not differ significantly on age, body mass index, gender, ASA classification, smoking status, steroid usage or rate of diabetes. Procedure time, conversion rate, infectious complications and length of stay did not differ significantly. The ratio of observed:expected direct hospital costs statistically favoured MLC, although there was no statistical difference between groups for contribution margin, or for observed and expected direct hospital costs. These results demonstrate safety and technical feasibility for SIRC in selected patients with short-term outcomes and hospital costs comparable to MLC. Contribution margin remained positive and expected costs exceeded observed for SIRC. Increased costs for SIRC are a concern. The comparable but relatively high mortality in both groups may represent an institutional approach to colectomy where significant comorbidity is not a contraindication to minimally invasive surgery. Copyright © 2015 John Wiley & Sons, Ltd.

Length of Stay

Minimally Invasive Surgical Procedures - methods

Robotic Surgical Procedures - methods

Humans

Laparoscopy - economics

Middle Aged

Colectomy - methods

Male

Minimally Invasive Surgical Procedures - economics

Treatment Outcome

Hospitalization

Operative Time

Health Care Costs

Laparoscopy - methods

Robotic Surgical Procedures - economics

Patient Safety

Adult

Female

Aged

Retrospective Studies

Postoperative Complications

Colectomy - economics

Details

Title: Subtitle: Single-incision robotic colectomy: are costs prohibitive?
Creators: John C Byrn - Departments of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Jennifer E Hrabe - Departments of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
John G Armstrong - Departments of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Christopher A Anthony - Departments of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Mary E Charlton - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: The international journal of medical robotics + computer assisted surgery, Vol.12(2), pp.303-308
DOI: 10.1002/rcs.1665
PMID: 25903546
PMCID: PMC7351094
NLM abbreviation: Int J Med Robot
ISSN: 1478-5951
eISSN: 1478-596X
Publisher: England
Grant note: P30 CA086862 / NCI NIH HHS
Language: English
Date published: 06/2016
Academic Unit: Health Management and Policy; Epidemiology; Surgery
Record Identifier: 9983995001502771

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